Organization Name: | DAKOTA COUNTY JAIL TREATMENT PROGRAM |
NPI Number: | 1053576751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA ISAAC (PROGRAM DIRECTOR) |
Mailing Address: | 1 Mendota Rd W West St Paul |
State: | MN US |
Postal Code: | 551184764 |
Phone Number: | 6515546000 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1049367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |