CORRIE J. PELTIER LADC – NPI #1114070406
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CORRIE PELTIER is a substance abuse rehabilitation facility located in STACY, MN. NPPES has assigned the NPI number 1114070406 to CORRIE PELTIER on January 19, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORRIE PELTIER below.

NPI Profile for
CORRIE J. PELTIER

NPI Number
1114070406
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CORRIE J. PELTIER
Credentials
LADC
Primary location
31065 FOREST BLVD.
STACY, MN 55079
Phone: (650) 408-7121 Fax:
Mailing address
PO BOX 30
STACY, MN 55079-0030
Phone: (651) 408-7121 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MN 1032392-1-CDT

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.