=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609175686
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOMORROW, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2011
-----------------------------------------------------
Last Update Date | 02/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 810 4TH AVE S SUITE 152
-----------------------------------------------------
City | MOORHEAD
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56560-2800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-287-1500
-----------------------------------------------------
Fax | 218-287-1267
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 128
-----------------------------------------------------
City | PILLAGER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56473-0128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-720-7775
-----------------------------------------------------
Fax | 218-746-8306
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | LEWIS P ZEIDNER
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 763-245-8278
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number | 1044799-4-CDT
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------