Christian Recovery Center

NPI 1003879164 - Psychologist - 103T00000X

NPI Details
NPI 1003879164
Enumeration Date 04/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name RANADENE KAY RANADENE
Position MEDICAL BILLING PROFESSIONALS
Phone (763) 566-0088
Fax (763) 566-0089
Practice Location
6120 EARLE BROWN DR
SUITE #200
BROOKLYN CENTER MN, 55430-2123, US
Phone (763) 566-0088
Fax (763) 566-0089
Business Location
6120 EARLE BROWN DR
SUITE #200
BROOKLYN CENTER MN, 55430-2123, US
Phone (763) 566-0088
Fax (763) 566-0089
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Christian Recovery Center NPI is 1003879164, taxonomy code is 103T00000X Christian Recovery Center physically located at 6120 Earle Brown Dr, Brooklyn Center MN, 55430-2123. NPI Number 1033115704 has the healthcare provider type.

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1003879164 NPI number is provided on an as is basis without warranty of any kind. 1003879164 is maintained by the National Plan & Provider Enumeration System. The contents of Christian Recovery Center are for informational purposes only.