Faith Family Recovery Center Of Maple Grove

NPI 1760889851 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1760889851
Enumeration Date 12/04/2014
Last Updated 12/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PAM M PAM
Position TREATMENT DIRECTOR / OWNER
Phone (763) 308-4753
Fax (763) 308-4531
Practice Location
6240 QUINWOOD LN N STE 206
MAPLE GROVE MN, 55369-6384, US
Phone (763) 308-4753
Fax (763) 308-4531
Business Location
1303 S FRONTAGE RD
HASTINGS MN, 55033-2483, US
Phone (651) 437-1628
Fax (651) 437-4165
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Faith Family Recovery Center Of Maple Grove NPI is 1760889851, taxonomy code is 324500000X Faith Family Recovery Center Of Maple Grove physically located at 6240 Quinwood Ln N Ste 206, Maple Grove MN, 55369-6384. NPI Number 1033115704 has the healthcare provider type.

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1760889851 NPI number is provided on an as is basis without warranty of any kind. 1760889851 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Family Recovery Center Of Maple Grove are for informational purposes only.