Organization
THEODORE I
Active
Other names
Boston Health Care Systems, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE K. BOSTON (CEO)
(651) 501-2378
Entity
Organization
Contact information
Practice address
1314 LIVINGSTON AVE, SAINT PAUL, MN 55118-2409
(651) 501-2378
(651) 738-1737
Mailing address
1865 OLD HUDSON RD, SAINT PAUL, MN 55119-4308
(651) 501-2378
(651) 738-1737
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
802493-1-RMI
MN
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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