Sage Prairie
NPI #1720406168 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1720406168
- Entity Type
- Organization
- Organization Name
- Sage Prairie
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 2, 2014
- Last Updated
- Sep 25, 2018
Practice Location
- Address
- 13005 COUNTY ROAD 5
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337
- Phone
- (952) 451-8160
Authorized Official
- Name
- MARCUS BLUE JR.
- Title
- OPERATIONS OFFICER
- Phone
- (952) 451-8160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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