| Odyssey - Eagan | |
|
1230 Eagan Industrial Road Suite 100 Eagan MN 55121 | |
| (612) 916-4873 | |
| Not Available |
| Full Name | Odyssey - Eagan |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1230 Eagan Industrial Road, Eagan, Minnesota |
| Authorized Official Name and Position | Paul Lindeman (DIRECTOR - REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6123267566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey - Eagan 550 Main Street Suite 230 New Brighton MN 55112 Ph: (612) 326-7600 | Odyssey - Eagan 1230 Eagan Industrial Road Suite 100 Eagan MN 55121 Ph: (612) 916-4873 |
| NPI Number | 1245364645 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245364645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 8309164CDT (Minnesota) | Primary |
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