Organization
RUM RIVER HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LARSON MA, LADC (EXECUTIVE DIRECTOR)
(763) 389-5080
Entity
Organization
Contact information
Practice address
101 18TH AVE N, PRINCETON, MN 55371-4756
(763) 389-5080
(763) 389-5453
Mailing address
101 18TH AVE N, PRINCETON, MN 55371-4756
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
101YA0400X
MN
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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