Organization
PARK AVENUE CENTER MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CASAGRANDE MA (EXECUTIVE DIRECTOR)
(612) 871-7443
Entity
Organization
Contact information
Practice address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-7443
Mailing address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-7443
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
801867-3-CDT
MN
Other
Enumeration date
03/28/2014
Last updated
12/01/2025
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