Whalio Doctors

NPI 1003042656

Divine Hope Counseling

Organisation Substance Abuse Rehabilitation Facility Willmar, MN

Practice location

Address
328 3rd St SW, Willmar, MN 56201-3475
Phone
(320) 231-9763
Fax
(320) 235-0334

Authorised official

Name
Lori Kay Hanson
Title
Administrator
Phone
(320) 231-9763

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1053421 (MN)

Registry record

NPI
1003042656
Entity type
Organization
NPI issued
9 Jun 2009
Record last updated
8 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.