Organization
ANEWAY
Active
Organization
ANEWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN NELSON MS, LMFT, LADC (EXECUTIVE DIRECTOR)
(218) 894-0034
Entity
Organization
Contact information
Practice address
518 2ND AVE NE, STAPLES, MN 56479-2930
(218) 894-0034
(218) 894-0035
Mailing address
201 6TH ST NE, STAPLES, MN 56479-2431
(218) 894-0034
(218) 894-0035
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1054577
MN
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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