Drake Residential Treatment Center

LBN: Drake Residential Treatment Center
Drake Residential Treatment Center is an health care organization with primary practice located at 28579 Us Highway 10 , Detroit Lakes MN 56501-7308. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Drake Residential Treatment Center can be contacted via phone (218) 844-5191, or through Vareberg, Teri via phone (701) 293-5429.

Contact Information

Primary practice address
28579 Us Highway 10 Detroit Lakes MN 56501-7308
Phone: (218) 844-5191
Fax: (218) 844-5193
Website:
Map and Directions
Authorized official contact:
Name: Vareberg, Teri
Phone: (701) 293-5429

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 1050972 Minnesota

Profile Details

NPI number 1841449246
LBN Legal business name Drake Residential Treatment Center
DBA Doing business as
Authorized official Vareberg, Teri
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2008
Last updated Sep 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841449246 NPPES
North Dakota MEDICAID 3002

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