Organization Name: | RULE 36 LIMITED PARTNERSHIP OF DULUTH III |
NPI Number: | 1073739496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY BRADLEY (BUSINESS OPERATIONS MANAGER) |
Mailing Address: | 1704 Belsly Blvd Moorhead |
State: | MN US |
Postal Code: | 565605274 |
Phone Number: | 2182338068 |
Fax Number: | 2182870581 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 810338-2-RMI |
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. |