NPI 1003243023
Specialized Treatment Services
Practice location
- Address
- 1132 Central Ave NE, Minneapolis, MN 55413-1512
- Phone
- (612) 902-5906
- Fax
- (612) 236-1701
Authorised official
- Name
- Denise Wagner
- Title
- Program Manager
- Phone
- (612) 236-1705
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1003243023
- Entity type
- Organization
- NPI issued
- 4 Oct 2013
- Record last updated
- 4 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.