Organization
PIONEER RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAWN NYAKUNDI LADC, CADC III (CO-OWNER/CO-DIRECTOR)
(218) 393-1421
Entity
Organization
Contact information
Practice address
5388 ROAD 37, AURORA, MN 55705-8338
(218) 393-1421
Mailing address
5388 ROAD 37, AURORA, MN 55705-8338
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MN
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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