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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1144372012 |
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| LBN Legal business name | WILDERNESS ALTERNATIVE SCHOOL, INC | ||||||||
| Authorized official | JOHN BREKKE - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/18/2007 | ||||||||
| Last updated | 02/21/2012 - About 14 years ago | ||||||||
| Identifiers |
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WILDERNESS ALTERNATIVE SCHOOL, INC