Organization · Type 2 NPI
East Metro Trauma and Recovery LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · White Bear Lake, MN
NPI number
1740880764
Active
Practice location
4116 Hoffman Rd
White Bear Lake, MN 55110-3708
Fax (651) 494-5915
Mailing address
8154 Enclave Rd
Woodbury, MN 55125-3032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1740880764
East Metro Trauma and Recovery LLC's National Provider Identifier is 1740880764, issued on Oct 28, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in White Bear Lake, MN. The record was last updated on Jul 21, 2022.