Organization
KEY CORP
Active
Other names
Professional Rehabilitation Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MAREE L COOK (ADMINISTRATOR)
(651) 603-8881
Entity
Organization
Contact information
Practice address
1246 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55104-4183
(651) 603-8774
Mailing address
1246 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55104-4183
(651) 603-8774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756104100
—
MN
Enumeration date
05/14/2008
Last updated
05/14/2008
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