Organization
DRIFENS, LLC
Active
Organization
DRIFENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK JOEL MAZULA (CEO)
(507) 288-5900
Entity
Organization
Contact information
Practice address
3716 MAYOWOOD RD SW, ROCHESTER, MN 55902-4260
(507) 288-5900
(507) 288-3539
Mailing address
3716 MAYOWOOD RD SW, ROCHESTER, MN 55902-4260
(507) 288-5900
(507) 288-3539
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1046693-1-CDT
MN
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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