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 |