Organization
OBAASHING WOMEN'S TREATMENT CENTER
Active
Organization
OBAASHING WOMEN'S TREATMENT CENTER
Active
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 56666-0069
(218) 679-1160
Mailing address
PO BOX 566, REDLAKE, MN 56671-0566
(218) 679-1320
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
03/17/2022
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