OrganizationActive
Bristol Place Corporation
NPI 1194818682 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Minneapolis, MN
Provider details
- NPI number
- 1194818682
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Daniel Schneider, Executive Director(612) 871-0805
- License
- 803962WS (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 8014812RS (MN)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 803962WS (MN)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 8025061RS (MN)
Residential Treatment Facilities
Practice location
412 Ridgewood Ave S
Minneapolis, MN 55403-3585
Phone: (612) 871-0805
Fax: (612) 871-0455
Approximate (ZIP-level) locationGet directions
Mailing address
412 Ridgewood Ave S
Minneapolis, MN 55403-3585
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.