Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Wayside House, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1932413887

The Wayside House, Inc is a Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2120 Clinton Ave
Minneapolis, MN 55404-2649
Phone: (612) 871-0099
Fax: (612) 871-0929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 1055132-1-CDT (MN)

Record details

NPI number1932413887
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Wayside House, Inc
Authorized official Jennifer Wilson — Billing Manager · (952) 405-7649
Other names Wayside Family Treatment Center; Incarnation Family Connections
NPI enumeratedAugust 3, 2010
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address1600 University Ave W Ste 300, Saint Paul, MN 55104-3800

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