NPI 1043219728

New Life Treatment Center

Organisation Substance Abuse Rehabilitation Facility Woodstock, MN

Practice location

Address: 130 Dakota St S, Woodstock, MN 56186-1037
Phone: (507) 777-4321
Fax: (507) 777-4284

Authorised official

Name: Wes van Essen
Title: Administrator
Phone: (507) 777-4321

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 801702-3-CDT (MN)

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X Licence 1033814-1-DS (MN)

Registry record

NPI: 1043219728
Entity type: Organization
NPI issued: 15 Jul 2005
Record last updated: 22 Aug 2020

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.