Organization
NORTHSTAR BEHAVIORAL HEALTH CRANBERRY ACRES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY KAY STEWART MA, LADC (OWNER / EXECUTIVE DIRECTOR)
(612) 749-8751
Entity
Organization
Contact information
Practice address
5810 CRANBERRY DR, WYOMING, MN 55092-9499
(612) 749-8751
Mailing address
5810 CRANBERRY DR, WYOMING, MN 55092-9499
(612) 749-8751
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1083755
MN
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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