Provider Demographics
NPI:1932851292
Name:REFLECTIONS ST. PAUL INC.
Entity type:Organization
Organization Name:REFLECTIONS ST. PAUL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CHMIELESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-235-0964
Mailing Address - Street 1:2356 UNIVERSITY AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1800
Mailing Address - Country:US
Mailing Address - Phone:651-235-0964
Mailing Address - Fax:651-705-8155
Practice Address - Street 1:2356 UNIVERSITY AVE W STE 210
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1800
Practice Address - Country:US
Practice Address - Phone:651-235-0964
Practice Address - Fax:651-705-8155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility