Organization
REWIND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT DAVID HOLM LADC (COUNSELOR)
(218) 346-6100
Entity
Organization
Contact information
Practice address
840 E MAIN ST, PERHAM, MN 56573-1934
(218) 346-6100
(218) 346-6112
Mailing address
840 E MAIN ST, PERHAM, MN 56573-1934
(218) 346-6100
(218) 346-6112
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10348381CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302032
LADC LICENSE
MN
Enumeration date
06/09/2014
Last updated
06/09/2014
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