Organization
EAGLE VISTA EQUINE CENTER, INC.
Active
Other names
Eagle Vista Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANNE LETSON MS, LPC (OWNER/FOUNDER AND LPC)
(218) 760-0656
Entity
Organization
Contact information
Practice address
16150 GOLDEN EAGLE CT NW, BEMIDJI, MN 56601-7111
(218) 760-0656
Mailing address
16150 GOLDEN EAGLE CT NW, BEMIDJI, MN 56601-7111
(218) 760-0656
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01258
MN
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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