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Minnesota Indian Primary Residential Treatment Center, Inc.
Substance Abuse Rehabilitation Facility in Sawyer, Minnesota
NPI 1578621579

Minnesota Indian Primary Residential Treatment Center, Inc. is a Substance Abuse Rehabilitation Facility based in Sawyer, MN. Minnesota Indian Primary Residential Treatment Center, Inc. practices in Sawyer, MN. The NPI Number for Minnesota Indian Primary Residential Treatment Center, Inc. is 1578621579 and holds a License No. (Minnesota).

The current practice location address for Minnesota Indian Primary Residential Treatment Center, Inc. is 1150 Mission Rd, Sawyer, MN and can be reached out via phone at 218-879-6731 and via fax at 218-879-6734.

Location: 1150 Mission Rd, Sawyer, MN, 55780-0066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578621579
Provider Name
Minnesota Indian Primary Residential Treatment Center, Inc.
Credential
Provider Entity Type
Organization
Address
1150 Mission Rd, Sawyer, MN, 55780-0066
Phone Number
218-879-6731
Fax Number
218-879-6734
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5013717 01 MN MEDICA
111904 01 MN UCARE
8103MA 01 MN BCBS OF MINNESOTA
9825MA 01 MN BCBS OF MINNESOTA
institution
Provider Business Practice Location Address Details
Address
1150 Mission Rd
City
Sawyer
State
Minnesota
Zip
55780-0066
Phone Number
218-879-6731
Fax Number
218-879-6734
person
Provider Business Mailing Address Details
Address
1150 Mission Rd
City
Sawyer
State
Minnesota
Zip
55780-0066
Phone Number
218-879-6731
Fax Number
218-879-6734
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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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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