| NPI | 1295105906 |
|---|---|
| Doing Business As | RIVER RIDGE LLC FOUR SEASONS OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | PATRICIA PATCHE CFO 952-564-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-07-19 |