| Organization Name: | WOODLAND CENTERS |
| NPI Number: | 1104909779 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENE BONYNGE (CEO) |
| Mailing Address: | 1125 6th St Se Willmar |
| State: | MN US |
| Postal Code: | 562010787 |
| Phone Number: | 3202354613 |
| Fax Number: | 3202319140 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 830946 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |