Organization
SUTTON OUTPATIENT SERVICES, LLC
Active
Other names
Sutton OutPatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HERBERT SUTTON LADC (PRESIDENT/CEO)
(651) 387-4629
Entity
Organization
Contact information
Practice address
1700 LIVINGSTON AVE STE 120, WEST ST PAUL, MN 55118-5938
(651) 387-4629
Mailing address
532 ROLLING HILLS PL, EAGAN, MN 55121-2352
(651) 387-4629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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