Organization
MORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE RUCCI (DIRECTOR)
(651) 487-2728
Entity
Organization
Contact information
Practice address
96 WHEELOCK PKWY E, SAINT PAUL, MN 55117-3939
(651) 487-2728
(651) 487-1512
Mailing address
96 WHEELOCK PKWY E, SAINT PAUL, MN 55117-3939
(651) 487-2728
(651) 487-1512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
05/25/2016
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