Organization Name: | DRAKE COUNSELING SERVICES, INC. |
NPI Number: | 1083037709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERI VAREBERG (BUSINESS MANAGER) |
Mailing Address: | 715 11th Street North, Suite 204 Moorhead |
State: | MN US |
Postal Code: | 56560 |
Phone Number: | 2184771092 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2014 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1066567 |
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: |