Organization
SPECIALIZED TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN LOVE BS (LADC)
(612) 902-5926
Entity
Organization
Contact information
Practice address
1132 CENTRAL AVENUE NE, MINNEAPOLIS, MN 55413
(612) 902-5926
Mailing address
1132 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1512
(612) 902-5926
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
302035
MN
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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