Organization
LATITUDES TREATMENT CENTER LLC
Active
Other names
Eosis Latitudes
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER PHD (CEO)
(763) 245-8278
Entity
Organization
Contact information
Practice address
550 MAIN ST STE 230, NEW BRIGHTON, MN 55112-3274
(612) 326-7600
Mailing address
1609 JACKSON ST, SAINT PAUL, MN 55117-3917
(612) 326-7611
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1066083
MN
Other
Enumeration date
08/28/2013
Last updated
02/21/2025
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