Organization
LIFESPRING OF ANDOVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JESH (MANAGER)
(612) 369-2094
Entity
Organization
Contact information
Practice address
224 E CENTRAL AVE, ANDOVER, KS 67002-8580
(612) 369-2094
Mailing address
1010 W SAINT GERMAIN ST STE 750, SAINT CLOUD, MN 56301-3432
(612) 369-2094
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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