MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER INC. NPI 1588732762

NPI Information

MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. is a lodging in Duluth, MN. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC. NPI is 1588732762. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Thunderbird-wren House.

The provider's business location address is:

229 N. 4TH AVENUE WEST
DULUTH, MN
ZIP 55806-648
Phone: (218) 727-7699
Fax: (218) 727-1476

The provider's authorized official is Deborah F Kamunen .
The authorized official title is Business Manager and has the following contact phone number (218) 879-6731.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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