Organization
RUM RIVER HEALTH SERVICES, INC.
Active
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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