Organization
AA ALTERNATIVES OF MINNESOTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA JEAN GRAMS LADC (OWNER)
(651) 645-6100
Entity
Organization
Contact information
Practice address
2499 RICE ST STE 40, ROSEVILLE, MN 55113-3724
(651) 645-6100
Mailing address
PO BOX 40502, SAINT PAUL, MN 55104-8502
(651) 645-6100
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
8309612 CDT
MN
Other
Enumeration date
02/20/2007
Last updated
06/12/2019
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