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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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