Organization
CARE HORIZON
Active
Other names
care horizon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY NGALLE (PROGRAM DIRECTOR)
(623) 272-3337
Entity
Organization
Contact information
Practice address
1536 PARK ST, APPT4, WHITE BEAR LAKE, MN 55110
(623) 272-3337
Mailing address
1536 PARK ST, APPT4, WHITE BEAR LAKE, MN 55110
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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