Organization
FAIRVIEW HEALTH SERVICES
Active
Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Residential Treatment and Recovery Services for Adolescents
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN V RING (DIRECTOR NETWORK RELATIONS AO)
(612) 672-6740
Entity
Organization
Contact information
Practice address
1675 BEAM AVE STE 200, SAINT PAUL, MN 55109-1479
(651) 213-8060
(651) 257-9237
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
830715
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684137000
—
MN
Enumeration date
04/30/2008
Last updated
02/27/2025
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