Organization
LONE WOLF RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RONALD YUREK BA, LADC (CEO)
(320) 485-2323
Entity
Organization
Contact information
Practice address
471 2ND ST N, WINSTED, MN 55395
(320) 485-2323
(320) 485-4585
Mailing address
PO BOX 163, 471 2ND ST N, WINSTED, MN 55395
(320) 485-2323
(320) 485-4585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1074872-1-CDT
MN
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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