Maple Lke Recovery Center INC

NPI #1093814576 in Monticello, Minnesota

Provider Information

NPI Number: 1093814576
Entity Type: Organization
Organization Name: Maple Lke Recovery Center INC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Sep 21, 2006
Last Updated: Jul 15, 2008

Practice Location

Address: 305 PRAIRIE RD
City: Monticello
State: Minnesota
ZIP Code: 55362-8990
Phone: (651) 785-5647

Authorized Official

Name: JUDITH M FEENSTRA, BS LADC
Title: ADMINISTRATOR
Phone: (612) 501-1197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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