Organization
TEEN FOCUS RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE RAE KUZEL (OWNER)
(320) 358-4065
Entity
Organization
Contact information
Practice address
475 SOUTH DANA AVEN, RUSH CITY, MN 55069
(320) 358-4065
(320) 358-4297
Mailing address
475 SOUTH DANA AVENUE, P.O. BOX 106, RUSH CITY, MN 55069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1047832
MN
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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