NPI: 1164891776
Provider Name: RIVER RIDGE, LLC
Other Name: RIVER RIDGE, LLC-BURNSVILLE OUTPATIENT
Classification: Counselor - 101YA0400X
Entity Type: Organization
Specialization: Addiction (Substance Use Disorder)
Address:
14750 LAC LAVON DR
BURNSVILLE, MN
ZIP 55306
Phone: (952) 894-7722
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RIVER RIDGE, LLC is an addiction (substance use disorder) counselor in Burnsville, MN. RIVER RIDGE, LLC NPI is 1164891776. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is River Ridge, Llc-burnsville Outpatient.
The provider's business location address is:
14750 LAC LAVON DR
BURNSVILLE, MN
ZIP 55306-398
Phone: (952) 894-7722
The provider's authorized official is Brian P Sammon .
The authorized official title is President and has the following contact phone number (952) 564-3000.
The enumeration date for this NPI number is 9/24/2015 and was last updated on 9/29/2015.