NPI 1336313485

Drifens, LLC

Organisation Substance Abuse Rehabilitation Facility Rochester, MN

Practice location

Address: 3716 Mayowood Rd SW, Rochester, MN 55902-4260
Phone: (507) 288-5900
Fax: (507) 288-3539

Authorised official

Name: Derek Joel Mazula
Title: Ceo
Phone: (507) 288-5900

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1046693-1-CDT (MN)

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Registry record

NPI: 1336313485
Entity type: Organization
NPI issued: 19 Apr 2008
Record last updated: 19 Apr 2008

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.