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
Authorized Official
- Name
- MR. JAMES W MALLERY II
- Title
- ADMINISTRATOR
- Phone
- (218) 879-6731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Lodging |
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