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Organization

KELLY NORTON PROGRAMS

Active
Other names
Bill Kelly House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HUGH AYLWARD (TREATMENT DIRECTOR)
(612) 726-1502
Entity
Organization

Contact information

Practice address
3104 E 58TH ST, MINNEAPOLIS, MN 55417-2800
(612) 726-1502
(612) 726-1009
Mailing address
3104 E 58TH ST, MINNEAPOLIS, MN 55417-2800
(612) 726-1502
(612) 726-1009

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
331212
MN

Other

Enumeration date
11/29/2006
Last updated
08/22/2020
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