Organization
RIVER RIDGE, LLC
Active
Organization
RIVER RIDGE, LLC
Active
Other names
River Ridge LLC Four Seasons Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PATCHE MA (CFO)
(952) 564-3000
Entity
Organization
Contact information
Practice address
4205 LANCASTER LN N STE 101, PLYMOUTH, MN 55441-1702
(952) 894-7722
(952) 894-0882
Mailing address
615 W TRAVELERS TRL, BURNSVILLE, MN 55337-2553
(952) 894-7722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
07/19/2022
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