Whalio Doctors

NPI 1285074922

Cdc Centers, INC

Organisation Substance Abuse Rehabilitation Facility Minnetonka, MN

Practice location

Address
5708 Glen Ave, Minnetonka, MN 55345-6611
Phone
(952) 894-7722
Fax
(952) 894-0882
Mailing address
14750 Lac Lavon Dr, Burnsville, MN 55306-6398

Authorised official

Name
Ruth Carol Ackley
Title
Ceo
Phone
(952) 894-7722

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1066127 (MN)

Registry record

NPI
1285074922
Entity type
Organization
NPI issued
26 Jun 2013
Record last updated
26 Aug 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.