Whalio Doctors

NPI 1598589038

Green Haven Irts LLC

Organisation Psychiatric Residential Treatment Facility Burnsville, MN

Practice location

Address
513 Wood Way, Burnsville, MN 55337-5732
Phone
(763) 485-1011
Mailing address
1500 McAndrews Rd W STE 203, Burnsville, MN 55337-4445

Authorised official

Name
Mohamoud Egal
Title
Ceo
Phone
(651) 347-1747

Registered specialties (4)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Psychiatric Hospital
Hospitals Taxonomy 283Q00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1598589038
Entity type
Organization
NPI issued
12 Nov 2024
Record last updated
5 Mar 2025

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.