Organization
PRIDE INSTITUTE
Active
Organization
PRIDE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY GILBERT MED (DIRECTOR OF BUSINESS DEVELOPMENT)
(952) 934-7555
Entity
Organization
Contact information
Practice address
14400 MARTIN DR, EDEN PRAIRIE, MN 55344-2031
(952) 934-7554
Mailing address
14400 MARTIN DR, EDEN PRAIRIE, MN 55344-2031
(952) 934-7554
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10301124CDT
MN
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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