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The Wayside House, Inc
Substance Abuse Rehabilitation Facility in Saint Louis Park, Minnesota
NPI 1235223652

The Wayside House, Inc is a Substance Abuse Rehabilitation Facility based in Saint Louis Park, MN. The Wayside House, Inc practices in Saint Louis Park, MN. The NPI Number for The Wayside House, Inc is 1235223652 and holds a License No. 802632-1-CDT (Minnesota).

The current practice location address for The Wayside House, Inc is 3705 Park Center Blvd, Saint Louis Park, MN and can be reached out via phone at 952-926-5626 and via fax at 952-926-9713.

Location: 3705 Park Center Blvd, Saint Louis Park, MN, 55416-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235223652
Provider Name
The Wayside House, Inc
Credential
Provider Entity Type
Organization
Address
3705 Park Center Blvd, Saint Louis Park, MN, 55416-2504
Phone Number
952-926-5626
Fax Number
952-926-9713
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
389255700 05 MN
institution
Provider Business Practice Location Address Details
Address
3705 Park Center Blvd
City
Saint Louis Park
State
Minnesota
Zip
55416-2504
Phone Number
952-926-5626
Fax Number
952-926-9713
person
Provider Business Mailing Address Details
Address
3705 Park Center Blvd
City
Saint Louis Park
State
Minnesota
Zip
55416-2504
Phone Number
952-926-5626
Fax Number
952-926-9713
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
802632-1-CDT (Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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