Organization
NBH HEATHER RIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WELDLER (MANAGER)
(773) 919-9351
Entity
Organization
Contact information
Practice address
2345 ARIEL ST N, MAPLEWOOD, MN 55109-2248
(773) 919-9351
Mailing address
1350 ARCADE ST, SAINT PAUL, MN 55106-1802
(773) 919-9351
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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