Organization
RUM RIVER HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DONALD LARSON (EXECUTIVE DIRECTOR)
(763) 389-5080
Entity
Organization
Contact information
Practice address
1506 1ST ST, PRINCETON, MN 55371-1462
(763) 389-5080
(763) 389-5453
Mailing address
101 18TH AVE N, PRINCETON, MN 55371-4756
(763) 389-5080
(763) 631-9117
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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