Nystrom Residential Treatment, LLC

NPI #1386229748 in Big Lake, Minnesota

Provider Information

NPI Number
1386229748
Entity Type
Organization
Organization Name
Nystrom Residential Treatment, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Mar 16, 2021
Last Updated
Apr 7, 2025

Practice Location

Address
19580 STATION ST
ZIP Code
55309-9411
Phone
(763) 309-2021

Authorized Official

Name
ANN EIDEN
Title
VP OF CORPORATE SERVICES
Phone
(651) 379-1750

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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