Organization
OBAASHING TREATMENT CENTER
Active
Organization
OBAASHING TREATMENT CENTER
Active
Other names
Obaashing Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE ANDERSEN (REVENUE GENERATION DIRECTOR)
(218) 679-1320
Entity
Organization
Contact information
Practice address
27190 NORTH SHORE RD, PONEMAH, MN 56666
(218) 679-3341
Mailing address
PO BOX 566, REDLAKE, MN 56671-0566
(218) 679-1160
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
03/14/2022
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