STATE OF MINNESOTA

MOOSE LAKE, MN
NPI1639355902
Entity TypeOrganization
Authorized ContactBRUCE J HAWKINSON
State Program Admin Director
507-931-7102
Organization Subpart ?No
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
Enumeration Date2008-01-16
Last Update Date2008-01-16
Business Address
STATE OF MINNESOTA
1111 HIGHWAY 73
MOOSE LAKE, MN 55767-9452
Phone number: 218-485-5300
Mailing Address
STATE OF MINNESOTA
400 CENTENNIAL BUILDING 658 CEDAR STREET
SAINT PAUL, MN 55155-1616
Phone number:
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