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METRO TREATMENT OF MINNESOTA LP NPI 1902012107


NPI Information

NPI: 1902012107
Provider Name: METRO TREATMENT OF MINNESOTA, LP

Doing Business As: LAKE SUPERIOR TREATMENT CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
14 E CENTRAL ENTRANCE
SUITE B
DULUTH, MN
ZIP 55811
Phone: (218) 786-0223
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METRO TREATMENT OF MINNESOTA, LP is a community behavioral health in Duluth, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. METRO TREATMENT OF MINNESOTA, LP NPI is 1902012107. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Superior Treatment Center.

The provider's business location address is:

14 E CENTRAL ENTRANCE
SUITE B
DULUTH, MN
ZIP 55811-508
Phone: (218) 786-0223
Fax: (218) 786-0226

The provider's authorized official is Patrick John Chunn .
The authorized official title is Cfo and has the following contact phone number (407) 351-7080.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 11/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic Pharmacy261964-8MINNESOTANo
2251S00000XCommunity/Behavioral Health1008733-1-CDTMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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