Organization
RESTORE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E GREER (TREATMENT DIRECTOR)
(218) 760-4209
Entity
Organization
Contact information
Practice address
3007 BIRCHMONT DR NE, BEMIDJI, MN 56601-4324
(218) 444-9420
(218) 444-9212
Mailing address
PO BOX 1191, BEMIDJI, MN 56619-1191
(218) 444-9420
(218) 444-9212
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1089959.
MN
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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