Organization
BURNSVILLE CENTER FOR ADD AND ADDICTIONS, L.L.C.
Active
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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