Organization
VINLAND NATIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE OLSON (EXECUTIVE ADMINISTRATOR)
(763) 479-4518
Entity
Organization
Contact information
Practice address
3675 IHDUHAPI RD, LORETTO, MN 55357-0308
(763) 479-3555
(763) 479-2605
Mailing address
PO BOX 308, LORETTO, MN 55357-0308
(763) 479-3555
(763) 479-2605
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
10613151MHC
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
1039413-1-CDT
MN
324500000X
Substance Abuse Rehabilitation Facility
10394132CDT
MN
324500000X
Substance Abuse Rehabilitation Facility
802601-3-CDT
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
8026015CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098055200
—
MN
Enumeration date
09/21/2006
Last updated
09/15/2025
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