| NPI | 1770872491 |
|---|---|
| Doing Business As | WELLSTONE CENTER FOR RECOVERY |
| Entity Type | Organization |
| Authorized Contact | MARY J CARPENTER CEO 218-749-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2016-04-14 |