| Breathe - Freedom From Nicotine | |
|
13911 Ridgedale Dr Suite 180 Minnetonka MN 55305-1771 | |
| (952) 697-1100 | |
| Not Available |
| Full Name | Breathe - Freedom From Nicotine |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13911 Ridgedale Dr, Minnetonka, Minnesota |
| Authorized Official Name and Position | Rick N Diamond (CEO) |
| Authorized Official Contact | 9526971100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe - Freedom From Nicotine 13911 Ridgedale Dr Suite 180 Minnetonka MN 55305-1771 Ph: (952) 697-1100 | Breathe - Freedom From Nicotine 13911 Ridgedale Dr Suite 180 Minnetonka MN 55305-1771 Ph: (952) 697-1100 |
| NPI Number | 1114375623 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114375623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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