Provider Demographics
NPI:1669564423
Name:DUNATOS, INC.
Entity type:Organization
Organization Name:DUNATOS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANSING
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CARN-AP
Authorized Official - Phone:507-292-1379
Mailing Address - Street 1:602 11TH AVE NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1805
Mailing Address - Country:US
Mailing Address - Phone:507-292-1379
Mailing Address - Fax:507-289-4524
Practice Address - Street 1:602 11TH AVE NW
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1805
Practice Address - Country:US
Practice Address - Phone:507-292-1379
Practice Address - Fax:507-289-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLICSW8120261QM0801X
MN1043274261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)