Organization
THE SCOTT COUNTY JAIL TREATMENT PROGRAM
Active
Other names
Loren E. Novak & Associates Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MILO WALBERG BS, LADC (EXECUTIVE DIRECTOR)
(952) 447-1117
Entity
Organization
Contact information
Practice address
301 FULLER ST S, SHAKOPEE, MN 55379-1322
(952) 447-1117
(952) 447-1116
Mailing address
14162 COMMERCE AVE NE, SUITE 400, PRIOR LAKE, MN 55372-1480
(952) 447-1117
(952) 447-1116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1062184
MN
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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