National Provider Identifier Database

NORTHERN MINNESOTA ADDICTION WELLNESS CENTER
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

NORTHERN MINNESOTA ADDICTION WELLNESS CENTER
4851 STACY ANN DR NW
BEMIDJI, MN56601
Phone: 218-444-2333
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for NORTHERN MINNESOTA ADDICTION WELLNESS CENTER

NPI Number 1336772425
Legal business name
LBN
NORTHERN MINNESOTA ADDICTION WELLNESS CENTER
Authorized official MARGOT KELSEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/17/2020
Last updated 02/17/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers 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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