Jan Johnson

NPI #1902055668 in Walker, Minnesota

Provider Information

NPI Number
1902055668
Entity Type
Organization
Organization Name
Jan Johnson
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 17, 2008
Last Updated
Sep 17, 2008

Practice Location

Address
211 6TH ST
City
Walker
ZIP Code
56484-0955
Phone
(218) 541-1100

Authorized Official

Name
JAN J JOHNSON, LADC
Title
EXECUTIVE DIRECTOR
Phone
(218) 682-2991

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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