NPI 1053576751

Dakota County Jail Treatment Program

Organisation Substance Use Disorder Rehabilitation Clinic/Center West St Paul, MN

Practice location

Address: 1 Mendota Rd W, West St Paul, MN 55118-4764
Phone: (651) 554-6000
Mailing address: 1580 Highway 55, Hastings, MN 55033-2343

Authorised official

Name: Tina Isaac
Title: Program Director
Phone: (651) 554-6000

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 1049367 (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1053576751
Entity type: Organization
NPI issued: 22 Jul 2008
Record last updated: 22 Jul 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.