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Psi Pride Institute Inc
Substance Abuse Rehabilitation Facility in Eden Prairie, Minnesota
NPI 1356342604

Psi Pride Institute Inc is a Substance Abuse Rehabilitation Facility based in Eden Prairie, MN. Psi Pride Institute Inc practices in Eden Prairie, MN. The NPI Number for Psi Pride Institute Inc is 1356342604 and holds a License No. 1030116-1-CDT (Minnesota).

The current practice location address for Psi Pride Institute Inc is 14400 Martin Dr, Eden Prairie, MN and can be reached out via phone at 952-934-7554 and via fax at 952-934-8764.

Location: 14400 Martin Dr, Eden Prairie, MN, 55344-2031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356342604
Provider Name
Psi Pride Institute Inc
Credential
Provider Entity Type
Organization
Address
14400 Martin Dr, Eden Prairie, MN, 55344-2031
Phone Number
952-934-7554
Fax Number
952-934-8764
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101123 01 MN HEALTH PARTNERS INS
1043387 01 MN PREFERRED ONE INS
630114200 05 MN
300658 01 MN UCARE INSURANCE
9L22PI 01 MN BCBS INSURANCE
320670 01 MN VALUE OPTIONS MCO
institution
Provider Business Practice Location Address Details
Address
14400 Martin Dr
City
Eden Prairie
State
Minnesota
Zip
55344-2031
Phone Number
952-934-7554
Fax Number
952-934-8764
person
Provider Business Mailing Address Details
Address
14400 Martin Dr
City
Eden Prairie
State
Minnesota
Zip
55344-2031
Phone Number
952-934-7554
Fax Number
952-934-8764
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
1030116-1-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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