THE WAYSIDE HOUSE INC. NPI 1932413887

NPI Information

THE WAYSIDE HOUSE, INC. is a substance abuse rehabilitation facility in Minneapolis, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE WAYSIDE HOUSE, INC. NPI is 1932413887. The provider is registered as an organization entity type.
The provider Other Name Is Incarnation Family Connections.

The provider's business location address is:

2120 CLINTON AVE S
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 871-0099
Fax: (612) 871-0929

The provider's authorized official is Ellie Skelton .
The authorized official title is Executive Director and has the following contact phone number (952) 405-7636.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.

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:

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