Whalio Doctors

NPI 1154441491

Community Options Fridley INC.

Organisation Mental Illness Community Based Residential Treatment Facility Fridley, MN

Practice location

Address
5384 5th St NE, Fridley, MN 55421-1108
Phone
(763) 572-0009
Fax
(763) 572-1295

Authorised official

Name
Diane M Ollendick Wright
Title
Executive Director
Phone
(763) 277-1038

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1154441491
Entity type
Organization
NPI issued
30 Mar 2007
Record last updated
24 May 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.