Organization · Type 2 NPI
Juel Fairbanks Chemical Dependency Services
Comprehensive Outpatient Rehabilitation Facility (CORF) · St. Paul, MN
NPI number
1982922324
Active
Practice location
804 Albert St N
St. Paul, MN 55104
Fax (651) 644-1126
Mailing address
806 Albert St N
St. Paul, MN 55104-1303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | 803854-3-CDT (MN) |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
Other comprehensive outpatient rehabilitation facility (corf) providers in St. Paul
About NPI 1982922324
Juel Fairbanks Chemical Dependency Services's National Provider Identifier is 1982922324, issued on May 10, 2010. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in St. Paul, MN. The record was last updated on May 10, 2010.