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Organization

AVANTI CENTER FOR GIRLS

Active
Other names
Avanti Center for Girls-Evaluation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY DEAN THOMPSON B.A. (DIRECTOR)
(763) 753-2500
Entity
Organization

Contact information

Practice address
10300 FLANDERS ST NE, BLAINE, MN 55449-5710
(763) 230-7470
(763) 230-7478
Mailing address
10300 FLANDERS ST NE, BLAINE, MN 55449-5710
(763) 230-7470
(763) 230-7478

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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