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Organization

PSI PRIDE INSTITUTE INC

Active
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Organization

PSI PRIDE INSTITUTE INC

Active
Other names
Pride Institute
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 382-3319
Entity
Organization

Contact information

Practice address
14400 MARTIN DR, EDEN PRAIRIE, MN 55344-2031
(952) 934-7554
(952) 934-8764
Mailing address
14400 MARTIN DR, EDEN PRAIRIE, MN 55344-2031
(952) 934-7554
(952) 934-8764

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1030116-1-CDT
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101123
HEALTH PARTNERS INS
MN
01
1043387
PREFERRED ONE INS
MN
01
300658
UCARE INSURANCE
MN
01
320670
VALUE OPTIONS MCO
MN
05
630114200
MN
01
9L22PI
BCBS INSURANCE
MN
Enumeration date
08/09/2005
Last updated
08/17/2026
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