# MINNESOTA YA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Newport Institute-Buffalo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487228763
- **Authorized official:** KEITH THOMPSON (CHIEF LEGAL & DEVELOPMENT OFFICER)
- **Authorized official phone:** (949) 432-4622

## Contact information

- **Practice address:** 2642 56TH ST NE, BUFFALO, MN 55313-5626
- **Practice address phone:** (714) 202-5166
- **Practice address fax:** (844) 721-8190
- **Mailing address:** L-4180, COLUMBUS, OH 43260-4180
- **Mailing address phone:** (714) 202-5166
- **Mailing address fax:** (844) 721-8190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2021
- **Last updated:** 10/02/2025