Organization
PSI PRIDE INSTITUTE INC
Active
Other names
Pride Institute
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
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
05/04/2011
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