| Organization Name: | WOODLAND CENTERS |
| NPI Number: | 1407937956 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENE BONYNGE (CEO) |
| Mailing Address: | 202 3rd St Sw Atwater |
| State: | MN US |
| Postal Code: | 56209 |
| Phone Number: | 3209748850 |
| Fax Number: | 3209748851 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 802325-2-RMI |
| 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: | |