Organization
MINNESOTA EXTENDED TREATMENT OPTIONS
Active
Other names
METO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD KORNRUMPF (MENTAL HEALTH ADMIN OFFICER)
(651) 431-5003
Entity
Organization
Contact information
Practice address
1425 STATE ST, CAMBRIDGE, MN 55008-5033
(763) 689-7200
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3676
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
335007
MN
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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