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

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401X803854-3-CDT (MN)

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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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.