institution
Theodore I
Mental Illness Community Based Residential Treatment Facility in Saint Paul, Minnesota
NPI 1831254408

Theodore I is a Mental Illness Community Based Residential Treatment Facility based in Saint Paul, MN. Theodore I practices in Saint Paul, MN. The NPI Number for Theodore I is 1831254408 and holds a License No. 802493-1-RMI (Minnesota).

The current practice location address for Theodore I is 1314 Livingston Ave, Saint Paul, MN and can be reached out via phone at 651-501-2378 and via fax at 651-738-1737.

Location: 1314 Livingston Ave, Saint Paul, MN, 55119-4308
institution
Provider Profile Details
NPI Number
1831254408
Provider Name
Theodore I
Credential
Provider Entity Type
Organization
Address
1314 Livingston Ave, Saint Paul, MN, 55119-4308
Phone Number
651-501-2378
Fax Number
651-738-1737
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1314 Livingston Ave
City
State
Zip
55118-2409
Phone Number
651-501-2378
Fax Number
651-738-1737
person
Provider Business Mailing Address Details
Address
1314 Livingston Ave
City
State
Zip
55118-2409
Phone Number
651-501-2378
Fax Number
651-738-1737
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
802493-1-RMI (Minnesota)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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