Organization
VALHALLA PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
6043 HUDSON RD STE 220, WOODBURY, MN 55125-1033
(651) 925-8200
Mailing address
6043 HUDSON RD STE 220, WOODBURY, MN 55125-1033
(208) 283-7792
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1048780-1-CDT
MN
251S00000X
Community/Behavioral Health Agency
Primary
1048780-1-CDT
MN
Other
Enumeration date
07/02/2008
Last updated
12/23/2024
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