Organization Name: | ARROWHEAD HOUSE INC |
NPI Number: | 1003088543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN BERNARD KOLAR (VICE PRESIDENT) |
Mailing Address: | 16 South 18th Avenue East Duluth |
State: | MN US |
Postal Code: | 55812 |
Phone Number: | 2187248844 |
Fax Number: | 2187289382 |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 8001211RMI |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |