Organization
ST. DAVID'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE RICKS B.S. (CLINICAL SERVICES MANAGER)
(952) 939-0396
Entity
Organization
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8720
(952) 548-8707
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8720
(952) 548-8707
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
19685
MN
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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