| NPI | 1811092703 |
|---|---|
| Doing Business As | BETHEL PORT REHABILLIATION CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS M DAWSON Executive Director 218-722-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 01655) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |