Amethyst Counseling Services, Inc.

NPI #1629117452 in New Brighton, Minnesota

Provider Information

NPI Number
1629117452
Entity Type
Organization
Organization Name
Amethyst Counseling Services, Inc.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Feb 6, 2007
Last Updated
Apr 28, 2008

Practice Location

Address
1405 SILVER LAKE RD NW
ZIP Code
55112-9301
Phone
(651) 633-4532

Authorized Official

Name
TAMMY JON JOHNSON, LADC
Title
PROGRAM COORIDANATOR
Phone
(651) 633-4532

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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