Organization
COURAGE CENTER
Active
Organization
COURAGE CENTER
Active
Other names
Chronic Pain Rehabilitation Program
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CARLSON (CHRONIC PAIN PROGRAM DIRECTOR)
(763) 520-0261
Entity
Organization
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(612) 588-0811
(763) 520-0237
Mailing address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(612) 588-0811
(763) 520-0237
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
8356799
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048048
PREFERRED ONE PROVIDER
MN
Enumeration date
01/16/2007
Last updated
04/25/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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