Organization
RUM RIVER HEALTH SERVICES, INC.
Active
Other names
Rum River Health Services Mille Lacs County Jail Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LARSON (EXECUTIVE DIRECTOR)
(763) 389-5080
Entity
Organization
Contact information
Practice address
640 3RD STREET NE, MILACA, MN 56353
(763) 389-5080
(763) 631-9117
Mailing address
101 18TH AVENUE NORTH, PRINCETON, MN 55371-4756
(763) 389-5080
(763) 389-9117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1060530-1-CDT
MN
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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