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Organization

CANVAS HEALTH, INC.

Active
Other names
Human Services, Inc. in Washington County
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW M. EASTWOOD PH.D., MPA, LMFT (COO)
(651) 777-5222
Entity
Organization

Contact information

Practice address
8451 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3331
(651) 458-4116
(651) 458-5632
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
801109
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
353302600
MN
Enumeration date
11/30/2006
Last updated
02/01/2012
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