Organization
WILD RIVER SERVICES INC
Active
Parent organization
WILD RIVER SERVICES INC
Other names
The Heights - Jackson
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILD RIVER SERVICES INC
Authorized official
COLIN FAULKNER (EXECUTIVE DIRECTOR)
(651) 558-9522
Entity
Organization
Contact information
Practice address
1394 JACKSON ST, SAINT PAUL, MN 55117
(651) 558-9522
Mailing address
1394 JACKSON ST STE 300, SAINT PAUL, MN 55117-4629
(651) 558-9522
(651) 207-1771
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
07/10/2018
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