MAPLE LAKE RECOVERY CENTER, INC.
NPI 1760587109
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Maple Lake, MN

Q: What is Maple Lake Recovery Center, Inc.'s NPI number?

The NPI number for Maple Lake Recovery Center, Inc. is 1760587109. It was assigned to this organization in the NPPES registry on September 13, 2006.

Q: What is Maple Lake Recovery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since September 13, 2006

207 DIVISION ST. E, MAPLE LAKE, MN 55358(320) 963-6865(320) 963-6279 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maple Lake Recovery Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLE LAKE RECOVERY CENTER, INC. (NPI 1760587109) is a healthcare organization registered as a substance abuse treatment, children in Maple Lake, Minnesota and active in the NPI registry since September 2006. The organization lists Judith M Feenstra, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760587109

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NameMAPLE LAKE RECOVERY CENTER, INC.

Location Address207 DIVISION ST. EMaple Lake, MN 55358

Mailing AddressP O Box 308, 207 Division St. EMaple Lake, MN 55358 · (320) 963-6865 · Fax (320) 963-6279

Phone(320) 963-6865

Fax(320) 963-6279

Organization SubpartNo

Authorized OfficialJudith M FeenstraAdministrator · (612) 501-1197

Enumeration DateSeptember 13, 2006

Last NPPES UpdateSeptember 3, 2008

✔ NPI 1760587109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

License✔ Licensed in MN · 810975-1-CRF

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

207 DIVISION ST. E, Maple Lake, MN 55358

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maple Lake Recovery Center, Inc.'s NPI number?

The NPI number for Maple Lake Recovery Center, Inc. is 1760587109. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Maple Lake Recovery Center, Inc. located?

Maple Lake Recovery Center, Inc. is located at 207 Division St. E, Maple Lake, MN 55358. The listed phone number is (320) 963-6865.

What is Maple Lake Recovery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Maple Lake Recovery Center, Inc. was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.