| Organization Name: | NEHEMIAH FAMILY SERVICES |
| NPI Number: | 1407150394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM BRYAN EDWARDS (CD PROGRAM DIRECTOR) |
| Mailing Address: | 104 1st St Nw Dodge Center |
| State: | MN US |
| Postal Code: | 559279195 |
| Phone Number: | 5073749047 |
| Fax Number: | 5076332977 |
| NPI Enumeration Date: | 01/06/2011 |
| NPI Last Update Date: | 01/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 1013043-5-CDT |
| 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: | |