C10202017363071 – NPI #1134630734
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

C10202017363071 is a substance abuse rehabilitation facility located in WAVERLY, MN. NPPES has assigned the NPI number 1134630734 to C10202017363071 on October 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Feb 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for C10202017363071 below.

NPI Profile for
C10202017363071

NPI Number
1134630734
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
C10202017363071
Primary location
109 N SHORE DR
WAVERLY, MN 55390
Phone: (763) 658-5800 Fax: (763) 658-4128
6 Other location(s):
NEW BEGINNINGS ELK RIVER
19230 EVANS ST. Ste. 203
ELK RIVER, MN 55330
Phone: (763) 658-5800
Fax: (763) 658-4128
NEW BEGINNINGS LITCHFIELD
114 NORTH HOLCOMBE
LITCHFIELD, MN 55355
Phone: (320) 693-2461
Fax: (763) 658-4128
105 S 5th St
Olivia, MN 56277-1374
Phone: (612) 590-7988
Fax: (763) 658-4128
NEW BEGINNINGS MINNESOTA - ST PETER
320 SUNRISE DRIVE; SUITE B
ST. PETER, MN 56082
Phone: (507) 931-0918
Fax: (763) 658-4128
7300 Estes Ave SW
Waverly, MN 55390-8432
Phone: (763) 658-5800
Fax: (763) 658-4128
NEW BEGINNINGS WORTHINGTON
1530 AIRPORT ROAD; SUITE 200
WORTHINGTON, MN 56187
Phone: (507) 376-3916
Fax: (763) 658-4128
Mailing address
C/O MERIDIAN BEHAVIORAL HEALTH #190
550 MAIN STREET
NEW BRIGHTON, MN 55112
Phone: (612) 454-2046 Fax:
Organization Subpart
No
Authorized Official
LEWIS ZEIDNER
CEO
Phone: (763) 245-8278
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.