OrganizationActive
Alternatives
NPI 1306053376 · Substance Abuse Rehabilitation Facility · New Brighton, MN
Provider details
- NPI number
- 1306053376
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Valerie Bundy, Controller(612) 326-7555
- License
- 802564 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
550 Main St
New Brighton, MN 55112-3271
Phone: (612) 326-7555
Approximate (ZIP-level) locationGet directions
Mailing address
1760 Unversity Ave
St Paul, MN 55104
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.