Maple Lake Recovery Center, Inc.
NPI #1760587109 in Maple Lake, Minnesota
Provider Information
- NPI Number
- 1760587109
- Entity Type
- Organization
- Organization Name
- Maple Lake Recovery Center, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Sep 3, 2008
Practice Location
- Address
- 207 DIVISION ST. E
- City
- Maple Lake
- State
- Minnesota
- ZIP Code
- 55358
- Phone
- (320) 963-6865
Authorized Official
- Name
- JUDITH M FEENSTRA, LADC
- Title
- ADMINISTRATOR
- Phone
- (612) 501-1197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
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