Organization
NEHEMIAH FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRYAN EDWARDS LADC (CD PROGRAM DIRECTOR)
(507) 374-9047
Entity
Organization
Contact information
Practice address
104 1ST ST NW, DODGE CENTER, MN 55927-9195
(507) 374-9047
(507) 633-2977
Mailing address
PO BOX 335, DODGE CENTER, MN 55927-0335
(507) 374-9047
(507) 633-2977
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1013043-5-CDT
MN
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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