Organization Name: | DIMENSIONS IN RECOVERY II |
NPI Number: | 1700293867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH FEENSTRA (ADMINISTRATOR) |
Mailing Address: | 13637 60th St Sw Cokato |
State: | MN US |
Postal Code: | 553214210 |
Phone Number: | 6122672493 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1074026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |