PHOENIX ADOLESCENT OUTPATIENT TREATMENT

MAPLEWOOD, MN
NPI1588833271
Entity TypeOrganization
Authorized ContactHOWARD LOUIS MEIER
Executive Director
651-230-1895
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: MN  1048347-1-CDT)
Enumeration Date2008-02-27
Last Update Date2008-02-27
Business Address
PHOENIX ADOLESCENT OUTPATIENT TREATMENT
2055 WHITE BEAR AVE N
MAPLEWOOD, MN 55109-3716
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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