Organization
ODYSSEY PROGRAMS, LLC
Active
Parent organization
MERIDIAN BEHAVIORAL HEALTH
Other names
Odyssey - Dakota County Juvenile Service Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERIDIAN BEHAVIORAL HEALTH
Authorized official
PAUL ALAN LINDEMAN (DIRECTOR - REVENUE CYCLE MANAGEMENT)
(612) 326-7566
Entity
Organization
Contact information
Practice address
1600 HIGHWAY 55, HASTINGS, MN 55003
(651) 438-8219
(651) 438-8252
Mailing address
550 MAIN STR, #230, NEW BRIGHTON, MN 55112
(612) 326-7600
(612) 326-7549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1023927
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
10239271CDT
MN
Other
Enumeration date
03/16/2007
Last updated
09/16/2008
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