| NPI | 1528345493 |
|---|---|
| Doing Business As | RUM RIVER HEALTH SERVICES MILLE LACS COUNTY JAIL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LARSON Executive Director 763-389-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1060530-1-CDT) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |