institution
Pear Lake Women's Facility - Outpatient
Addiction (Substance Use Disorder) Counselor in Grand Rapids, Minnesota
NPI 1225357437

Pear Lake Women's Facility - Outpatient is an Addiction (Substance Use Disorder) Counselor based in Grand Rapids, MN and is specialized in Addiction (Substance Use Disorder). Pear Lake Women's Facility - Outpatient practices in Grand Rapids, MN. The NPI Number for Pear Lake Women's Facility - Outpatient is 1225357437 and holds a License No. 10026213CDT (Minnesota).

The current practice location address for Pear Lake Women's Facility - Outpatient is 2086 Ridgeway Dr, Grand Rapids, MN and can be reached out via phone at 218-327-9944 and via fax at 218-327-9944.

Location: 2086 Ridgeway Dr, Grand Rapids, MN, 55744-4421
institution
Provider Profile Details
NPI Number
1225357437
Provider Name
Pear Lake Women's Facility - Outpatient
Credential
Provider Entity Type
Organization
Address
2086 Ridgeway Dr, Grand Rapids, MN, 55744-4421
Phone Number
218-327-9944
Fax Number
218-327-9944
Provider Enumeration Date
05/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2086 Ridgeway Dr
City
State
Zip
55744-4421
Phone Number
218-327-9944
Fax Number
218-327-9944
person
Provider Business Mailing Address Details
Address
2086 Ridgeway Dr
City
State
Zip
55744-4421
Phone Number
218-327-9944
Fax Number
218-327-9944
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10026213CDT (Minnesota)
Definition
Definition to come...
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