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Nystrom Residential Treatment, Llc
Substance Abuse Rehabilitation Facility in Big Lake, Minnesota
NPI 1386229748

Nystrom Residential Treatment, Llc is a Substance Abuse Rehabilitation Facility based in New Brighton, MN. Nystrom Residential Treatment, Llc practices in Big Lake, MN. The NPI Number for Nystrom Residential Treatment, Llc is 1386229748 and holds a License No. (Minnesota).

The current practice location address for Nystrom Residential Treatment, Llc is 19580 Station St, Big Lake, MN and can be reached out via phone at 763-309-2021 and via fax at 763-309-2022.

Location: 19580 Station St, Big Lake, MN, 55112-1786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386229748
Provider Name
Nystrom Residential Treatment, Llc
Credential
Provider Entity Type
Organization
Address
19580 Station St, Big Lake, MN, 55112-1786
Phone Number
763-309-2021
Fax Number
763-309-2022
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19580 Station St
City
Big Lake
State
Minnesota
Zip
55309-9411
Phone Number
763-309-2021
Fax Number
763-309-2022
person
Provider Business Mailing Address Details
Address
19580 Station St
City
Big Lake
State
Minnesota
Zip
55309-9411
Phone Number
763-309-2021
Fax Number
763-309-2022
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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