# ECC ADDICTION & TOXICOLOGY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629532429
- **Authorized official:** DR. JEFFREY GEDDES MD (VICE PRESIDENT)
- **Authorized official phone:** (612) 439-1862

## Contact information

- **Practice address:** 2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
- **Practice address phone:** (612) 439-1862
- **Mailing address:** PO BOX 86 LOCK BOX 12-0910, MINNEAPOLIS, MN 55486-0085
- **Mailing address phone:** (612) 439-1862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | NULL | Yes |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 01/25/2019
- **Last updated:** 10/30/2020
