Organization
THE WAYSIDE HOUSE, INC.
Active
Organization
THE WAYSIDE HOUSE, INC.
Active
Parent organization
THE WAYSIDE HOUSE, INC
Other names
Wayside Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WAYSIDE HOUSE, INC
Authorized official
JENNIFER WILSON (BILLING MANAGER)
(952) 405-7649
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W STE 300, SAINT PAUL, MN 55104-3800
(651) 242-5540
(651) 209-6341
Mailing address
1600 UNIVERSITY AVE W STE 300, SAINT PAUL, MN 55104-3800
(651) 242-5540
(651) 209-6341
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
11/12/2025
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