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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 # | 1366681918 |
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| LBN Legal business name | PRAIRIE ST. JOHN'S, LLC | ||||
| Authorized official | THOMAS EIDE - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/05/2009 | ||||
| Last updated | 02/05/2009 - About 17 years ago | ||||
| Identifiers |
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| JACY1 DBA ANCHORAGE 810 4TH ST S MOORHEAD, MN |
| ASHLEY HIEB 113 HIGHWAY 38 ALICE, ND |
| HEART & SOUL COUNSELING, PLLC 510 ABERCROMBIE STREET ABERCROMBIE, ND |
| ANDREA J HEFFTA 11571 65TH ST NE ADAMS, ND |
| RIVER'S EDGE COUNSELING 510 ABERCROMBIE ST. ABERCROMBIE, ND |
| GINA PIERCE PO BOX 71 ABERCROMBIE, ND |
PRAIRIE ST. JOHN'S, LLC