Organization
SPECIALIZED TREATMENT SERVICES, INC.
Active
Organization
SPECIALIZED TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN A MCGREGOR (VICE PRESIDENT)
(612) 236-1703
Entity
Organization
Contact information
Practice address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
(612) 236-1703
(612) 236-1701
Mailing address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
(612) 236-1703
(612) 236-1701
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10351731CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744415000
MHCP OR MA
MN
Enumeration date
12/18/2006
Last updated
06/16/2009
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