Organization
CROSSROADS AFTERCARE PROGRAM
Active
Other names
The Rubicon
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUNDQUIST LADC (EXECUTIVE DIRECTOR)
(612) 374-0506
Entity
Organization
Contact information
Practice address
7250 METRO BLVD STE 100, EDINA, MN 55439-2145
(612) 200-9870
Mailing address
7250 METRO BLVD STE 100, EDINA, MN 55439-2145
(612) 200-9870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/26/2021
Last updated
03/29/2021
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