MAPLE LAKE RECOVERY CENTER, INC. – NPI #1760587109
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

MAPLE LAKE RECOVERY CENTER, INC. is a substance abuse rehabilitation facility located in MAPLE LAKE, MN. NPPES has assigned the NPI number 1760587109 to MAPLE LAKE RECOVERY CENTER, INC. on September 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 18 years ago on Sep 03, 2008. 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 MAPLE LAKE RECOVERY CENTER, INC. below.

NPI Profile for
MAPLE LAKE RECOVERY CENTER, INC.

NPI Number
1760587109
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAPLE LAKE RECOVERY CENTER, INC.
Primary location
207 DIVISION ST. E
MAPLE LAKE, MN 55358
Phone: (320) 963-6865 Fax: (320) 963-6279
Mailing address
P O BOX 308
207 DIVISION ST. E
MAPLE LAKE, MN 55358
Phone: (320) 963-6865 Fax: (320) 963-6279
Organization Subpart
No
Authorized Official
JUDITH FEENSTRA
ADMINISTRATOR
Phone: (612) 501-1197
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 MN 810975-1-CRF

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.