Organization
NBH JACKSON ST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WELDLER (CEO)
(773) 919-9351
Entity
Organization
Contact information
Practice address
1609 JACKSON ST, SAINT PAUL, MN 55117-3917
(651) 487-4987
Mailing address
2345 ARIEL ST N, MAPLEWOOD, MN 55109-2248
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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