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Northern Minnesota Addiction Wellness Center

Substance Abuse Rehabilitation Facility in Bemidji, MN. Organization (NPI-2).

NPI number1336772425
StatusActive
Last updated in NPPESFeb 17, 2020

Details

NPI
1336772425
Entity type
Organization (NPI-2)
Legal business name
Northern Minnesota Addiction Wellness Center
Organization subpart
No
Enumeration date
Feb 17, 2020
Certification date
Feb 17, 2020
Last updated
Feb 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

4851 Stacy Ann Dr Nw
Bemidji, MN 56601

Phone 218-444-2333

Mailing address

4851 Stacy Ann Dr Nw
Bemidji, MN 56601

Phone 218-444-2333

Authorized official

Margot Elissa Kelsey
Executive Director
9522506641

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