Organization
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY KLINE (OPERATIONS DIRECTOR)
(218) 236-1494
Entity
Organization
Contact information
Practice address
39413 120TH ST SW, EAST GRAND FORKS, MN 56721-9121
(218) 773-1044
Mailing address
2485 COMO AVE, SAINT PAUL, MN 55108-1445
(800) 582-5260
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
801447
MN
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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