| NPI | 1164891776 |
|---|---|
| Other Name | RIVER RIDGE, LLC-BURNSVILLE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | BRIAN P SAMMON President 952-564-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-29 |