Organization
RESIDENTIAL TRANSITIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ANTHONY DELONG LICSW (CLINICAL DIRECTOR)
(651) 454-6118
Entity
Organization
Contact information
Practice address
750 S PLAZA DR STE 100, MENDOTA HEIGHTS, MN 55120-1505
(651) 457-1461
(651) 455-1385
Mailing address
750 S PLAZA DR STE 100, MENDOTA HEIGHTS, MN 55120-1505
(651) 457-1461
(651) 455-1385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114420783
—
MN
Enumeration date
03/27/2018
Last updated
10/07/2018
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