Organization
MINNESOTA YA SERVICES LLC
Active
Other names
Newport Institute-Monticello
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH THOMPSON (CHIEF LEGAL & DEVELOPMENT OFFICER)
(949) 432-4622
Entity
Organization
Contact information
Practice address
123 90TH ST NE, MONTICELLO, MN 55362-3290
(714) 202-5166
(844) 721-8190
Mailing address
L-4180, COLUMBUS, OH 43260-4180
(714) 202-5166
(844) 721-8191
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
10/02/2025
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