| NPI | 1215143441 |
|---|---|
| Doing Business As | ST PAUL METRO TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHN CHUNN CFO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MN 830320-2-CDT) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 261485-0) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-11-22 |