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Organization
MINNESOTA EXTENDED TREATMENT OPTIONS
Active
Organization
MINNESOTA EXTENDED TREATMENT OPTIONS
Active
Other names
METO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD KORNRUMPF (MENTAL HEALTH ADMIN OFFICER)
(651) 431-5003
Entity
Organization
Contact information
Practice address
1425 STATE ST, CAMBRIDGE, MN 55008-5033
(763) 689-7200
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3676
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
335007
MN
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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