Organization
RUM RIVER HEALTH SERVICES, INC.
Active
Other names
Men's Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LARSON (EXECUTIVE DIRECTOR)
(763) 389-5080
Entity
Organization
Contact information
Practice address
3079 90TH AVENUE, PRINCETON, MN 55371
(763) 389-5080
(763) 631-9117
Mailing address
101 18TH AVENUE NORTH, PRINCETON, MN 55371-4756
(763) 389-5080
(763) 631-9117
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
FBL-4868-25062
MN
324500000X
Substance Abuse Rehabilitation Facility
FBL-4868-25062
MN
Other
Enumeration date
04/12/2011
Last updated
07/24/2012
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