Organization
RAMSEY COUNTY DETOXIFICATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DERUSHA (ADULT SERVICES MANAGER)
(651) 266-4172
Entity
Organization
Contact information
Practice address
160 KELLOGG BLVD E, SUITE 2300, SAINT PAUL, MN 55101-1420
(651) 266-4009
Mailing address
160 KELLOGG BLVD E, SUITE 2300, SAINT PAUL, MN 55101-1420
(651) 266-4009
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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