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Organization
DAMASCUS WAY
Active
Organization
DAMASCUS WAY
Active
Other names
Damascus Way Reentry Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIERRE WEBSTER LGSW (EXECUTIVE DIRECTOR)
(612) 746-5631
Entity
Organization
Contact information
Practice address
1515 E 66TH ST, RICHFIELD, MN 55423-2648
(763) 545-6558
(763) 275-9951
Mailing address
5830 OLSON MEMORIAL HWY, MINNEAPOLIS, MN 55422-5016
(763) 545-6558
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
12/01/2023
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