Organization · Type 2 NPI
Maple Lake Recovery Center, Inc.
Children's Substance Abuse Rehabilitation Facility · Maple Lake, MN
Practice location
207 Division St. E
Maple Lake, MN 55358
Fax (320) 963-6279
Mailing address
P O Box 308, 207 Division St. E
Maple Lake, MN 55358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | 810975-1-CRF (MN) |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
About NPI 1760587109
Maple Lake Recovery Center, Inc.'s National Provider Identifier is 1760587109, issued on Sep 13, 2006. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Maple Lake, MN. The record was last updated on Sep 3, 2008.