Organization
BURNSVILLE CENTER FOR ADD AND ADDICTIONS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON SCORE (PRESIDENT)
(952) 898-1870
Entity
Organization
Contact information
Practice address
1601 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7013
(952) 224-8990
Mailing address
14724 INNSBROOK LN, BURNSVILLE, MN 55306-6455
(952) 898-1870
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2095
MN
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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