Individual provider · Type 1 NPI
Corrie Joesph Peltier, LADC
Substance Abuse Rehabilitation Facility · Stacy, MN
NPI number
1114070406
Active
Practice location
31065 Forest Blvd.
Stacy, MN 55079
Mailing address
PO Box 30
Stacy, MN 55079-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 1032392-1-CDT (MN) |
Substance Abuse Rehabilitation Facility: 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.
About NPI 1114070406
Corrie Joesph Peltier, LADC's National Provider Identifier is 1114070406, issued on Jan 19, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Stacy, MN. The record was last updated on Jul 8, 2007.