institution
Senior Recovery Program
Addiction (Substance Use Disorder) Counselor in Maplewood, Minnesota
NPI 1598848939

Senior Recovery Program is an Addiction (Substance Use Disorder) Counselor based in Maplewood, MN and is specialized in Addiction (Substance Use Disorder). Senior Recovery Program practices in Maplewood, MN. The NPI Number for Senior Recovery Program is 1598848939 and holds a License No. 808754-3-CDT (Minnesota).

The current practice location address for Senior Recovery Program is 2375 Ariel Ave., Maplewood, MN and can be reached out via phone at 651-773-0473.

Location: 2375 Ariel Ave., Maplewood, MN, 55109
institution
Provider Profile Details
NPI Number
1598848939
Provider Name
Senior Recovery Program
Credential
Provider Entity Type
Organization
Address
2375 Ariel Ave., Maplewood, MN, 55109
Phone Number
651-773-0473
Fax Number
Provider Enumeration Date
10/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
808754 01 MN RULE 31 CLINIC DEPT OF HUMAN SERVICES
446517200 01 MN CONSOLIDATED FUND
institution
Provider Business Practice Location Address Details
Address
2375 Ariel Ave.
City
State
Zip
55109
Phone Number
651-773-0473
Fax Number
person
Provider Business Mailing Address Details
Address
2375 Ariel Ave.
City
State
Zip
55109
Phone Number
651-773-0473
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
808754-3-CDT (Minnesota)
Definition
Definition to come...
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