Juel Fairbanks Chemical Dependency Services
NPI #1982922324 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1982922324
- Entity Type
- Organization
- Organization Name
- Juel Fairbanks Chemical Dependency Services
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- May 10, 2010
- Last Updated
- May 10, 2010
Practice Location
- Address
- 804 ALBERT ST N
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104
- Phone
- (651) 282-0460
Authorized Official
- Name
- JANICE LINDSTROM
- Title
- EXECUTIVE DIRECTOR
- Phone
- (651) 282-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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