Organization
RESTORE HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH GREER (PROGRAM MANAGER)
(218) 760-4209
Entity
Organization
Contact information
Practice address
51756 229TH AVE, BEMIDJI, MN 56601-9376
(218) 444-9420
Mailing address
51756 229TH AVE, BEMIDJI, MN 56601-9376
(218) 444-9420
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1059563
MN
Other
Enumeration date
03/21/2011
Last updated
03/25/2013
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