Organization
MINNESOTA ALTERNATIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA LOUISE DESANTO (OWNER)
(612) 296-0317
Entity
Organization
Contact information
Practice address
4200 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2920
(763) 789-4895
Mailing address
1141 MONTANA AVE W, SAINT PAUL, MN 55108-2246
(612) 296-0317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1054915
MN
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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