Aneway

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Staples, MN

NPI 1457581233 · NPPES record last updated Jul 15, 2009

Key facts

NPI
1457581233
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
License
1054577 (MN)
Legal business name
ANEWAY
Practice address
518 2ND Ave NE
Staples, MN 56479-2930
Phone
(218) 894-0034
Fax
(218) 894-0035
NPI assigned
Jul 15, 2009
Organization subpart
No

Authorized official

Name
Ms. Julie Ann Nelson, MS, LMFT, LADC
Title
Executive Director
Phone
(218) 894-0034

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aneway (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1054577 MN Yes

Addresses

Primary practice location

518 2ND Ave NE
Staples, MN 56479-2930

Mailing address

201 6TH St NE
Staples, MN 56479-2431
Phone (218) 894-0034

Other providers in Staples, MN

All providers in Staples, MN · Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.