OrganizationActive
Ltc Professionals, PLLC
NPI 1689559312 · Substance Use Disorder Rehabilitation Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1689559312
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessie Rustad, Director of Clinical Operations(507) 351-8858
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439-3113
Phone: (952) 248-0716
Approximate (ZIP-level) locationGet directions
Mailing address
7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439-3113
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.