Organization Name: | SPECIALIZED TREATMENT SERVICES, INC. - BROOKLYN PARK |
NPI Number: | 1023362027 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CORY WILLIAM EDWARD VEECK (BILLING MANAGER) |
Mailing Address: | 7472 Lakeland Blvd Brooklyn Park |
State: | MN US |
Postal Code: | 554280000 |
Phone Number: | 6122361700 |
Fax Number: | 6122361743 |
NPI Enumeration Date: | 10/30/2012 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2800X |
License Number: | 1063313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Methadone Clinic |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |