Minnesota Extended Treatment Options

NPI #1427246420 in Cambridge, Minnesota

Provider Information

NPI Number: 1427246420
Entity Type: Organization
Organization Name: Minnesota Extended Treatment Options
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 4, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 1425 STATE ST
City: Cambridge
State: Minnesota
ZIP Code: 55008-5033
Phone: (763) 689-7200

Authorized Official

Name: MR. ROD KORNRUMPF
Title: MENTAL HEALTH ADMIN OFFICER
Phone: (651) 431-5003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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