| Aazhoomog Alcohol And Drug Program | |
|
45741 Grace Lake Rd Sandstone MN 55072 | |
| (320) 384-0149 | |
| (320) 384-0163 |
| Full Name | Aazhoomog Alcohol And Drug Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45741 Grace Lake Rd, Sandstone, Minnesota |
| Authorized Official Name and Position | Nicole Anderson (COMMISSIONER OF HEALTH & HUMAN SERV) |
| Authorized Official Contact | 3205324163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aazhoomog Alcohol And Drug Program 18562 Minobimaadizi Loop Onamia MN 56359-3001 Ph: (320) 532-4163 | Aazhoomog Alcohol And Drug Program 45741 Grace Lake Rd Sandstone MN 55072 Ph: (320) 384-0149 |
| NPI Number | 1982830493 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 07/21/2022 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982830493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
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