Organization
RIVER RIDGE, LLC
Active
Other names
A Womans Way
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P SAMMON MA, LMFT, LADC (PRESIDENT)
(952) 564-3000
Entity
Organization
Contact information
Practice address
151 W BURNSVILLE PKWY, SUITE 100, BURNSVILLE, MN 55337-2524
(952) 564-3000
Mailing address
720 151ST STREET EAST, BURNSVILLE, MN 55306-5103
(952) 894-7722
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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