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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 Specialty Code Provider Type

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for DRAKE RESIDENTIAL TREATMENT CENTER

NPI Number 1841449246
LBN Legal business name DRAKE RESIDENTIAL TREATMENT CENTER
Authorized official TERI VAREBERG - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2008
Last updated 09/10/2008 - About 18 years ago
Identifiers
MN License # 1050972
ND Medicaid 3002
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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