Wenden Olmsted County Correction Recovery Service

NPI 1558635128 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1558635128
Enumeration Date 02/29/2012
Last Updated 02/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ADAM ADAM
Position OWNER
Phone (651) 385-0600
Fax (651) 388-2129
Practice Location
140 4TH ST SE
ROCHESTER MN, 55904-3752, US
Phone (651) 385-0600
Fax (651) 388-2129
Business Location
217 PLUM ST
#220
RED WING MN, 55066-2351, US
Phone (651) 385-0600
Fax (651) 388-2129
Toxanomy
Taxonomy Code 251S00000X
License State Minnesota
License Number 1061701-1CDT
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According to our database, Wenden Olmsted County Correction Recovery Service NPI is 1558635128, taxonomy code is 251S00000X and license number is 1061701-1CDT, license state is located at Minnesota. Wenden Olmsted County Correction Recovery Service physically located at 140 4th St Se, Rochester MN, 55904-3752. NPI Number 1033115704 has the healthcare provider type.

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1558635128 NPI number is provided on an as is basis without warranty of any kind. 1558635128 is maintained by the National Plan & Provider Enumeration System. The contents of Wenden Olmsted County Correction Recovery Service are for informational purposes only.