STATE OF MINNESOTA

Psychiatric Residential Treatment Facility

Active Organization
NPI: 1639355902

Practice Address

1111 HIGHWAY 73
Moose Lake, MN 55767

Phone: (218) 485-5300

Specialties

Specialty Code Primary License
Psychiatric Residential Treatment Facility 323P00000X Yes -

Frequently Asked Questions

NPI 1639355902 is the National Provider Identifier for STATE OF MINNESOTA, a Psychiatric Residential Treatment Facility provider located in Moose Lake, MN. This NPI was enumerated on January 16, 2008.

Quick Facts

NPI
1639355902
Type
Organization
Enumerated
Jan 16, 2008
Last Updated
Jan 16, 2008

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