Organization
RESTORE HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH GREER (PROGRAM DIRECTOR)
(218) 760-4209
Entity
Organization
Contact information
Practice address
1001 MISSISSIPPI AVE NW, BEMIDJI, MN 56601-4534
(218) 444-9102
Mailing address
1001 MISSISSIPPI AVE NW, BEMIDJI, MN 56601-4534
(218) 444-9102
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1065889
MN
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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