| Rum River Health Services, Inc. | |
|
640 3rd Street Ne Milaca MN 56353 | |
| (763) 389-5080 | |
| (763) 631-9117 |
| Full Name | Rum River Health Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 640 3rd Street Ne, Milaca, Minnesota |
| Authorized Official Name and Position | Jeffrey Larson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7633895080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rum River Health Services, Inc. 101 18th Avenue North Princeton MN 55371-4756 Ph: (763) 389-5080 | Rum River Health Services, Inc. 640 3rd Street Ne Milaca MN 56353 Ph: (763) 389-5080 |
| NPI Number | 1528345493 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 11/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528345493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1060530-1-CDT (Minnesota) | Primary |
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