Organization
WILD RIVER SERVICES
Active
Other names
The Heights
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN KELLY FAULKNER II (EXECUTIVE DIRECTOR)
(651) 558-9522
Entity
Organization
Contact information
Practice address
796 CAPITOL HTS, SAINT PAUL, MN 55103-1852
(651) 558-9522
Mailing address
1246 UNIVERSITY AVE W, SUITE 101, SAINT PAUL, MN 55104-4125
(651) 558-9522
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1084357
MN
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/23/2014
Last updated
01/20/2017
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