Minnesota Indian Primary Residential Treatment Center, Inc.

NPI #1588732762 in Duluth, Minnesota

Provider Information

NPI Number
1588732762
Entity Type
Organization
Organization Name
Minnesota Indian Primary Residential Treatment Center, Inc.
Primary Specialty
Lodging
Enumeration Date
Dec 4, 2006
Last Updated
May 8, 2023

Practice Location

Address
9302 IDAHO STREET
City
Duluth
ZIP Code
55808
Phone
(218) 727-7699

Authorized Official

Name
MR. JAMES W MALLERY II
Title
ADMINISTRATOR
Phone
(218) 879-6731

Specialties & Taxonomy Codes

Specialty
Lodging

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