National Provider Identifier Database

CORRIE J PELTIER, LADC – NPI #1114070406
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

CORRIE J PELTIER, LADC
31065 FOREST BLVD.
STACY, MN55079
Phone: 650-408-7121
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CORRIE J PELTIER

NPI Number 1114070406
Credentials LADC
Entity Individual
Enumeration date 01/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 1032392-1-CDT
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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