Organization
TRANSITIONS HOMES CORPORATION
Active
Other names
Transitions Outpatient Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JERRY MUGAAS (EXECUTIVE DIRECTOR)
(612) 819-7207
Entity
Organization
Contact information
Practice address
366 PRIOR STREET, SUITE #205, ST. PAUL, MN 55104
(651) 644-1304
(888) 239-3133
Mailing address
1450 N WILLOW DR, LONG LAKE, MN 55356-9568
(612) 819-7207
(888) 239-3133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
1055581
MN
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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