Organization
THE RANCH - TEAMMATES FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK GALLAGHER (BOARD MEMBER)
(612) 306-2830
Entity
Organization
Contact information
Practice address
310 US 71 N, SAUK CENTRE, MN 56378-1144
(320) 429-8808
Mailing address
2026 TAYLOR ST NE, MINNEAPOLIS, MN 55418-4649
(612) 306-2830
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/10/2025
Last updated
02/19/2025
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