Organization
EXODUS PCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARS YOUNGREN (OWNER)
(612) 239-1432
Entity
Organization
Contact information
Practice address
13522 LOWER ELKWOOD CT, APPLE VALLEY, MN 55124-8601
(612) 239-1432
Mailing address
13522 LOWER ELKWOOD CT, APPLE VALLEY, MN 55124-8601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MN
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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