Pride Institute

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

10301124CDT Issued in MN

Legal business name

PRIDE INSTITUTE

Practice address

14400 Martin Dr
Eden Prairie, MN 55344-2031

Phone

(952) 934-7554

NPI assigned

Aug 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Molly Gilbert, MED

Title

Director of Business Development

Phone

(952) 934-7555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1699141358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 MARTIN DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442031",
            "telephone_number": "952-934-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 MARTIN DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442031",
            "telephone_number": "952-934-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "952-934-7555",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "10301124CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Eden Prairie, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.