National Provider Identifier Database

TEMPORARY LIVING CENTER
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

TEMPORARY LIVING CENTER
7170 BRYANT LAKE DR
EDEN PRAIRIE, MN55344-3502
Phone: 952-942-6400
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for TEMPORARY LIVING CENTER

NPI Number 1922275148
Legal business name
LBN
TEMPORARY LIVING CENTER
Authorized official JACQUE ROBINSON-RICHARD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/15/2008
Last updated 05/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1010423
  • MN Other: 2719550000 MN ITS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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