Nystrom Residential Treatment, LLC
Nystrom Residential Treatment, LLC is a Substance Abuse Rehabilitation Facility in Big Lake, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
19580 Station StBig Lake, MN 55309-9411
Phone: (763) 309-2021
Fax: (763) 309-2022
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
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1386229748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ann Eiden — Vp Of Corporate Services · (651) 379-1750 |
| NPI enumerated | March 16, 2021 |
| Last updated in NPPES | April 7, 2025 |
| Certification date | April 7, 2025 |
| Mailing address | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 |