Provider Demographics
NPI:1003913369
Name:THE GABLES, INC.
Entity Type:Organization
Organization Name:THE GABLES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOFFERAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-282-2500
Mailing Address - Street 1:604 5TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3256
Mailing Address - Country:US
Mailing Address - Phone:507-282-2500
Mailing Address - Fax:507-282-6036
Practice Address - Street 1:604 5TH ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3256
Practice Address - Country:US
Practice Address - Phone:507-282-2500
Practice Address - Fax:507-282-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN800871-1-CDT3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children