Whalio Doctors

NPI 1043424047

Cedar Ridge, INC

Organisation Substance Abuse Rehabilitation Facility Stillwater, MN

Practice location

Address
11400 Julianne Ave N, Stillwater, MN 55082-9436
Phone
(612) 326-7555
Mailing address
550 Main St, New Brighton, MN 55112-3271

Authorised official

Name
Valerie Bundy
Title
Controller
Phone
(612) 326-7555

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1033826 (MN)

Registry record

NPI
1043424047
Entity type
Organization
NPI issued
9 May 2007
Record last updated
22 Aug 2020

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.