Organization
PROFESSIONAL RESOURCE NETWORK, INC
Active
Parent organization
PROFESSIONAL RESOURCE NETWORK, INC
Other names
Professional Resource Network Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL RESOURCE NETWORK, INC
Authorized official
CHARIE L DEVOLITES (CEO)
(952) 858-8807
Entity
Organization
Contact information
Practice address
1 WATER ST W, SUITE 255, SAINT PAUL, MN 55107-2002
(952) 858-8807
Mailing address
2740 AMERICAN BLVD W, SUITE 100, BLOOMINGTON, MN 55431-1203
(952) 858-8807
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11727900
—
MN
Enumeration date
09/11/2013
Last updated
09/11/2013
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