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Douglas Place Treatment Center LLC — NPI 1306277645, East Grand Forks, MN | NPI Central

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NPI 1306277645

OrganizationActive

Douglas Place Treatment Center LLC

NPI 1306277645 · Substance Abuse Rehabilitation Facility · East Grand Forks, MN

Provider details

NPI number: 1306277645
Entity type: Organization
Primary specialty: Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Lewis Zeidner, Ceo(763) 245-8278
License: 1071339 (MN)

Specialties & taxonomies

Substance Abuse Rehabilitation FacilityPrimary324500000XLicense 1071339 (MN)
Residential Treatment Facilities

Practice location

1111 Gateway Dr Ne

East Grand Forks, MN 56721-2620

Phone: (612) 326-7600

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

550 Main St

Saint Paul, MN 55112-3271

Other names (DBA / former)

Doing business as: Eosis Northern Plains

Registry dates

Enumerated: 2013-12-12
Last updated: 2025-02-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.