NPI 1386936805

Avanti Center for Girls

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Blaine, MN

Practice location

Address: 10300 Flanders St NE, Blaine, MN 55449-5710
Phone: (763) 230-7470
Fax: (763) 230-7478

Authorised official

Name: Terry Dean Thompson
Title: Director
Phone: (763) 753-2500

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1386936805
Entity type: Organization
NPI issued: 3 May 2011
Record last updated: 3 May 2011

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.