OrganizationActive
Residential Advantages, Inc
NPI 1992211916 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lakefield, MN
Provider details
- NPI number
- 1992211916
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brett Cohen, Coo(800) 388-5150
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
220 Milwaukee St
Lakefield, MN 56150-9494
Phone: (507) 662-5236
Fax: (952) 922-6885
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S
Edina, MN 55435-1805
Registry dates
- Enumerated
- 2017-12-28
- Last updated
- 2023-03-05
- Certified
- 2023-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.