Lutheran Social Service of Minnesota

NPI #1376733659 in Crookston, Minnesota

Provider Information

NPI Number: 1376733659
Entity Type: Organization
Organization Name: Lutheran Social Service of Minnesota
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 820 EICKHOF BLVD
Address 2: KAIROS HOUSE
City: Crookston
State: Minnesota
ZIP Code: 56716-2600
Phone: (218) 281-1524

Authorized Official

Name: BRIGID PETERSON
Title: CONTROLLER
Phone: (800) 582-5260

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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