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
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