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Organization

THE WAYSIDE HOUSE, INC.

Active
Parent organization
THE WAYSIDE HOUSE, INC.
Other names
Incarnation Family Connections, Wayside Family Treatment 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
2120 CLINTON AVE, MINNEAPOLIS, MN 55404-2649
(612) 871-0099
(612) 871-0929
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
1055132-1-CDT
MN

Other

Enumeration date
08/03/2010
Last updated
11/12/2025
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