PHOENIX ADOLESCENT OUTPATIENT TREATMENT

MINNEAPOLIS, MN
NPI1003096447
Entity TypeOrganization
Authorized ContactHOWARD LOUIS MEIER
Director
651-230-1895
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: MN  1034578-1-CDT)
Enumeration Date2007-11-13
Last Update Date2007-11-13
Business Address
PHOENIX ADOLESCENT OUTPATIENT TREATMENT
601 13TH AVE SE
MINNEAPOLIS, MN 55414-1437
Phone number: 651-734-3268
Mailing Address
PHOENIX ADOLESCENT OUTPATIENT TREATMENT
1011 INTERLACHEN PKWY
WOODBURY, MN 55125-8852
Phone number: 651-230-0849
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