Rosenberg Center Assessment And Treatment For Children & Families PA
Clinic/Center, Developmental Disabilities in Roseville, MN. Organization (NPI-2).
NPI number1033347331
StatusActive
Last updated in NPPESJan 28, 2016
Details
- NPI
- 1033347331
- Entity type
- Organization (NPI-2)
- Legal business name
- Rosenberg Center Assessment And Treatment For Children & Families PA
- Organization subpart
- No
- Enumeration date
- Jun 24, 2009
- Last updated
- Jan 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | 7340 | MN | Yes |
| 261QD1600X | Clinic/Center, Developmental Disabilities | 7109 | MN |
Practice location
1935 Country Road B2 WestSuite 100
Roseville, MN 55113
Phone 651-636-4155 · Fax 651-636-3595
Mailing address
1935 Country Road B2 WestSuite 100
Roseville, MN 55113
Phone 651-636-4155 · Fax 651-636-3595
Authorized official
Mae G Petrangelo
Speech-Language Pathologist
6516364155
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