Organization
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGID PETERSON (CONTROLLER)
(800) 582-5260
Entity
Organization
Contact information
Practice address
820 EICKHOF BLVD, KAIROS HOUSE, CROOKSTON, MN 56716-2600
(218) 281-1524
Mailing address
2485 COMO AVE, SAINT PAUL, MN 55108-1445
(800) 582-5260
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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