SearchMinnesotaIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Tricia Bastian

NPI 1295291573 · on the registry since 2019 · sole proprietor

Practice

Address
607 4th St S
Walker, MN 56484
Phone
(218) 251-1365

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota