Provider First Line Business Practice Location Address:
12601 RIDGEDALE DRIVE, RIDGEDALE SERVICE CENTER
Provider Second Line Business Practice Location Address:
HENNEPIN COUNTY CHILDREN'S MENTAL HEALTH CRISIS SERVICE
Provider Business Practice Location Address City Name:
MINNETONKA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-348-8801
Provider Business Practice Location Address Fax Number:
952-541-6270
Provider Enumeration Date:
10/21/2010