Organization
DOUGLAS PLACE TREATMENT CENTER LLC
Active
Other names
Eosis Northern Plains
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER PHD (CEO)
(763) 245-8278
Entity
Organization
Contact information
Practice address
1111 GATEWAY DR NE, EAST GRAND FORKS, MN 56721-2620
(612) 326-7600
Mailing address
550 MAIN ST, STE 230, SAINT PAUL, MN 55112-3271
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1071339
MN
Other
Enumeration date
12/12/2013
Last updated
02/21/2025
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