Organization
NYSTROM & ASSOCIATES, LTD.
Active
Other names
Intensive Outpatient Chemical Dependency Program Rule 31, Sagent Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANN EIDEN (VP OF CORPORATE SERVICES)
(651) 379-1750
Entity
Organization
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
10/21/2025
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