River of Life Services LLC
River of Life Services LLC provides Addiction Medicine (Internal Medicine) Physician services in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6200 Excelsior Blvd #202St Louis Park, MN 55416-2730 Not confirmed with CMS for 18 years — call before visiting
Phone: (952) 548-9344
Fax: (952) 548-9344
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X · Licence 45852 (MN) |
|---|
Record details
| NPI number | 1144400011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hayden Severin — Addictionology/Asam Certified · (952) 548-9344 |
| Other names | River Of Life Services |
| NPI enumerated | November 8, 2007 |
| Last updated in NPPES | November 8, 2007 |
| Mailing address | 6200 Excelsior Blvd, 202, St Louis Park, MN 55416-2730 |
Other providers in St Louis Park
-
Jay Sather, MD
6200 Excelsior Blvd Ste 202, St Louis Park, MN 55416-2734 · (952) 548-9340