Organization
CAPSTONE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PETER HAFDAHL (PRESIDENT)
(651) 641-0042
Entity
Organization
Contact information
Practice address
1410 ENERGY PARK DR STE 10, SAINT PAUL, MN 55108-5249
(651) 641-0042
(651) 645-2780
Mailing address
1410 ENERGY PARK DR STE 10, SAINT PAUL, MN 55108-5249
(651) 641-0042
(651) 645-2780
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10278232WS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10278242WS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10278253WS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10278262WS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10278272SILS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10357212WS
MN
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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