NPI 1053563544
Pca Positive Direction
Practice location
- Address
- 810 Lawrence Pkwy, Buffalo, MN 55313-1045
- Phone
- (763) 684-1610
Authorised official
- Name
- Paul M Werner
- Title
- President
- Phone
- (763) 684-1610
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1053563544
- Entity type
- Organization
- NPI issued
- 16 Oct 2008
- Record last updated
- 16 Oct 2008
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.