Wild River Services
NPI #1285095778 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1285095778
- Entity Type
- Organization
- Organization Name
- Wild River Services
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Mar 11, 2016
- Last Updated
- Jan 20, 2017
Practice Location
- Address
- 1246 UNIVERSITY AVE W STE 101
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-4125
- Phone
- (651) 558-9522
Authorized Official
- Name
- COLIN KELLY FAULKNER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (651) 558-9522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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