Provider Demographics
NPI:1235819996
Name:SOLUTION CENTER S CORP
Entity Type:Organization
Organization Name:SOLUTION CENTER S CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRU
Authorized Official - Middle Name:EMMANUEL
Authorized Official - Last Name:NGANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-647-8894
Mailing Address - Street 1:1756 129TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-6264
Mailing Address - Country:US
Mailing Address - Phone:763-647-8894
Mailing Address - Fax:
Practice Address - Street 1:4949 NORTHCUTT PL
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3839
Practice Address - Country:US
Practice Address - Phone:763-647-8994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities