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Contact Information

MAPLE LKE RECOVERY CENTER INC
305 PRAIRIE RD
MONTICELLO, MN55362-8990
 Phone: 651-785-5647
 Fax: 763-295-9579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for MAPLE LKE RECOVERY CENTER INC

NPI # 1093814576
LBN Legal business name MAPLE LKE RECOVERY CENTER INC
Authorized official JUDITH FEENSTRA - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 07/15/2008 - About 18 years ago
Identifiers
MN License # 1032184-1-CRF
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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