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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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