Mrs. Rita Marie Cannonwolf, BA, T-ADC - Alexandria, MN

Mrs. Rita Marie Cannonwolf, BA,T-ADC

Substance Abuse Rehabilitation Facility in Alexandria, Minnesota

NPI 1093928459

Rita Marie Cannonwolf is a Substance Abuse Rehabilitation Facility based in Alexandria, MN. Rita Marie Cannonwolf practices in Alexandria, MN and has the professional credentials of BA,T-ADC. The NPI Number for Rita Marie Cannonwolf is 1093928459 and holds a License No. (Minnesota).

The current practice location address for Rita Marie Cannonwolf is 222 9Th Ave W, Alexandria, MN and can be reached out via phone at 320-763-3912 and via fax at 320-763-6629.

Location: 222 9Th Ave W, Alexandria, MN, 56308-2221

NPI Number

1093928459

Provider Name

Rita Marie Cannonwolf

Credential

BA,T-ADC

Provider Entity Type

Individual

Gender

Female

Address

222 9Th Ave W, Alexandria, MN, 56308-2221

Phone Number

320-763-3912

Fax Number

320-763-6629

Provider Enumeration Date

05/08/2007

Last Update Date

03/09/2024

Address

222 9Th Ave W

City

Alexandria

State

Minnesota

Zip

56308-2221

Phone Number

320-763-3912

Fax Number

320-763-6629

Address

222 9Th Ave W

City

Alexandria

State

Minnesota

Zip

56308-2221

Phone Number

320-763-3912

Fax Number

320-763-6629

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

(Minnesota)

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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