NPI 1427246420

Minnesota Extended Treatment Options

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Cambridge, MN

Practice location

Address: 1425 State St, Cambridge, MN 55008-5033
Phone: (763) 689-7200
Mailing address: PO Box 64979, Saint Paul, MN 55164-0979

Authorised official

Name: Rod Kornrumpf
Title: Mental Health Admin Officer
Phone: (651) 431-5003

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 335007 (MN)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Minnesota →

Registry record

NPI: 1427246420
Entity type: Organization
NPI issued: 4 Oct 2007
Record last updated: 4 Oct 2007

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.