National Provider Identifier Database

DRAKE RESIDENTIAL TREATMENT CENTER
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

DRAKE RESIDENTIAL TREATMENT CENTER
28579 US HIGHWAY 10
DETROIT LAKES, MN56501-7308
Phone: 218-844-5191
Fax: 218-844-5193
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for DRAKE RESIDENTIAL TREATMENT CENTER

NPI Number 1841449246
Legal business name
LBN
DRAKE RESIDENTIAL TREATMENT CENTER
Authorized official TERI VAREBERG - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/10/2008
Last updated 09/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1050972
  • ND Medicaid: 3002

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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