On-Belay Of Mn Incorporated in Plymouth - Substance Abuse Treatment, Children
On-Belay Of Mn Incorporated - NPI 1396706008
On-Belay Of Mn Incorporated is a Substance Abuse Treatment, Children in Plymouth, Minnesota. On-Belay Of Mn Incorporated practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for On-Belay Of Mn Incorporated is 1396706008. The last update date is 2011-10-26.
On-Belay Of Mn Incorporated's current location address is 115 Forestview Lane, Plymouth, Minnesota. You can contact this provider via phone number 7635429212 and fax number 7635429248. The mailing address for On-Belay Of Mn Incorporated is 115 Forestview Lane, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | On-Belay Of Mn Incorporated |
|---|---|
| Address | 115 Forestview Lane, Plymouth, Minnesota |
| Phone Number | 7635429212 |
| Fax Number | 7635429248 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Theis Marcey |
| Telephone Number | 7633676981 |
NPI Number Detail
| NPI Number | 1396706008 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2011-10-26 |
Provider Mailing Address Detail
| Address | 115 Forestview Lane |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 55441 |
| Phone Number | 7635429212 |
| Fax Number | 7635429248 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 5228577 |
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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 children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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What is the On-Belay Of Mn Incorporated's unique identification number?
The On-Belay Of Mn Incorporated has been assigned the NPI (National Provider Identifier) Number 1396706008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where On-Belay Of Mn Incorporated's facilities are situated?
The facilities of On-Belay Of Mn Incorporated are physically located at the following address: 115 Forestview Lane, Plymouth, MN, 55441.
What is On-Belay Of Mn Incorporated's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for On-Belay Of Mn Incorporated is Substance Abuse Treatment, Children, and the taxonomy code that categorizes this field of expertise is 3245S0500X.
On what date did the On-Belay Of Mn Incorporated receive its 1396706008 assignment from the Centers for Medicare & Medicaid Services?
The On-Belay Of Mn Incorporated was assigned its 1396706008 by the Centers for Medicare & Medicaid Services on 2006-03-31.
When was the On-Belay Of Mn Incorporated's information last updated?
The On-Belay Of Mn Incorporated's information was last updated on 2011-10-26.