Minnesota Indian Primary Residential Treatment Center, Inc
Minnesota Indian Primary Residential Treatment Center, Inc provides Lodging Provider services in Duluth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9302 Idaho StDuluth, MN 55808
Phone: (218) 727-7699
Fax: (218) 727-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X |
|---|---|
| Lodging Provider | Taxonomy 177F00000X · Licence 8025091CDT (MN) |
Record details
| NPI number | 1588732762 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Mallery — Administrator · (218) 879-6731 |
| Other names | Thunderbird-Wren House; Thunderbird-Wren House |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | May 8, 2023 |
| Certification date | May 8, 2023 |
| Mailing address | Po Box 66, Sawyer, MN 55780 |
Other providers in Duluth
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Fathers Rise Together
2024 W 3rd St, Duluth, MN 55806-2053 · (218) 390-9204