Organization
REENTRY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY M. SCHNEIDER LICENSED PSYCHOLOGIS (EXECUTIVE DIRECTOR)
(612) 869-2411
Entity
Organization
Contact information
Practice address
5812 LYNDALE AVE S, MINNEAPOLIS, MN 55419-2222
(612) 869-2411
(612) 869-0313
Mailing address
5812 LYNDALE AVE S, MINNEAPOLIS, MN 55419-2222
(612) 869-2411
(612) 869-0313
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
802063
MN
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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