Provider Demographics
NPI:1902027659
Name:REVERENCE FOR LIFE AND CONCERN FOR PEOPLE INC
Entity Type:Organization
Organization Name:REVERENCE FOR LIFE AND CONCERN FOR PEOPLE INC
Other - Org Name:PROJECT TURNABOUT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR-CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHIKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-564-4911
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56241-0116
Mailing Address - Country:US
Mailing Address - Phone:320-564-4911
Mailing Address - Fax:320-564-3122
Practice Address - Street 1:1220 BIRCH ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1500
Practice Address - Country:US
Practice Address - Phone:507-532-3008
Practice Address - Fax:507-532-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN803994261QR0405X, 324500000X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Not Answered3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN331223OtherVALU OPTIONS
MN1045707OtherPREFERRED ONE
MN116018OtherUCARE
MN2U83PROtherBCBS OP
MN5065657OtherMEIDCA-UBH