| NPI | 1942570791 |
|---|---|
| Doing Business As | FOUNTAIN CENTERS |
| Former Legal Business Name | MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN |
| Entity Type | Organization |
| Authorized Contact | PRAVEEN MEKALA Chief Financial Officer 507-594-6449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062254) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062243) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062245) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062247) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062242) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062244) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062246) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1065057-2-CDT) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062248) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062252) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-03-23 |