| Organization Name: | ANEWAY |
| NPI Number: | 1457581233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE ANN NELSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 518 2nd Ave Ne Staples |
| State: | MN US |
| Postal Code: | 564792930 |
| Phone Number: | 2188940034 |
| Fax Number: | 2188940035 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 07/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 1054577 |
| 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: | |