person
Corrie Joesph Peltier, LADC
Substance Abuse Rehabilitation Facility in Stacy, Minnesota
NPI 1114070406

Corrie Joesph Peltier is a Substance Abuse Rehabilitation Facility based in Stacy, MN. Corrie Joesph Peltier practices in Stacy, MN and has the professional credentials of LADC. The NPI Number for Corrie Joesph Peltier is 1114070406 and holds a License No. 1032392-1-CDT (Minnesota).

The current practice location address for Corrie Joesph Peltier is 31065 Forest Blvd., Stacy, MN and can be reached out via phone at 650-408-7121.

Location: 31065 Forest Blvd., Stacy, MN, 55079-0030
person
Provider Profile Details
NPI Number
1114070406
Provider Name
Corrie Joesph Peltier
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
31065 Forest Blvd., Stacy, MN, 55079-0030
Phone Number
650-408-7121
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
31065 Forest Blvd.
City
State
Zip
55079
Phone Number
650-408-7121
Fax Number
person
Provider Business Mailing Address Details
Address
31065 Forest Blvd.
City
State
Zip
55079
Phone Number
650-408-7121
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
1032392-1-CDT (Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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