| Organization Name: | RAINY RIVER RECOVERY |
| NPI Number: | 1033403753 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY DENNIS CHRISTIANSON (DIRECTOR) |
| Mailing Address: | 900 5th St Suite 301 International Falls |
| State: | MN US |
| Postal Code: | 566492254 |
| Phone Number: | 2182857029 |
| Fax Number: | 2182857072 |
| NPI Enumeration Date: | 05/31/2011 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 1059889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |