Organization
DAMASCUS WAY
Active
Other names
Damascus Way Reentry Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIERRE WEBSTER LGSW (EXECUTIVE DIRECTOR)
(612) 746-5631
Entity
Organization
Contact information
Practice address
1515 E 66TH ST, RICHFIELD, MN 55423-2648
(763) 545-6558
(763) 275-9951
Mailing address
5830 OLSON MEMORIAL HWY, MINNEAPOLIS, MN 55422-5016
(763) 545-6558
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
12/01/2023
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