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Organization

COMMUNITY TRANSITIONAL SERVICES-EVELETH

Active
Parent organization
STATE OF MINNESOTA
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF MINNESOTA
Authorized official
MR. ROD L KORNRUMPF (MENTAL HEALTH ADMIN OFFICER)
(651) 431-5003
Entity
Organization

Contact information

Practice address
227 MCKINLEY AVE, EVELETH, MN 55734-1606
(218) 744-7436
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3676

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
11/16/2007
Last updated
11/16/2007
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