NPI 1629353495

Prairiecare

Organisation Psychiatric Hospital Maple Grove, MN

Practice location

Address: 12915 63rd Ave N, Maple Grove, MN 55369-6001
Phone: (952) 826-8405

Authorised official

Name: Joel Oberstar
Title: Ceo
Phone: (763) 383-5800

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 26-3715906 (MN)

Other Psychiatric Hospital providers in Minnesota →

Registry record

NPI: 1629353495
Entity type: Organization
NPI issued: 12 Oct 2011
Record last updated: 12 Oct 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.