| Wayside House, Inc. | |
|
1349 Jersey Ave S St. Louis Park MN 55426 | |
| (952) 542-9322 | |
| (952) 542-0031 |
| Full Name | Wayside House, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1349 Jersey Ave S, St. Louis Park, Minnesota |
| Authorized Official Name and Position | Karina Forrest-perkins (CEO) |
| Authorized Official Contact | 6512425542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayside House, Inc. 3705 Park Center Blvd St. Louis Park MN 55416 Ph: () - | Wayside House, Inc. 1349 Jersey Ave S St. Louis Park MN 55426 Ph: (952) 542-9322 |
| NPI Number | 1649756040 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649756040 | NPI | - | NPPES |
The Lake Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Park Glen Road #155, St. Louis Park, MN 55416 Phone: 612-223-7992 Fax: 952-928-9774 | |
Lacuna For Integrative Therapies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5009 Excelsior Blvd, Suite 134, St. Louis Park, MN 55416 Phone: 612-360-5685 Fax: 952-285-4103 |