Organization
KELLY NORTON PROGRAMS
Active
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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