| Christian Restoration Services | |
|
7157 Commerce Circle W Fridley MN 55432 | |
| (763) 566-2888 | |
| Not Available |
| Full Name | Christian Restoration Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7157 Commerce Circle W, Fridley, Minnesota |
| Authorized Official Name and Position | Marcella Garretson (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7635662888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Restoration Services 7157 Commerce Circle W Fridley MN 55432 Ph: () - | Christian Restoration Services 7157 Commerce Circle W Fridley MN 55432 Ph: (763) 566-2888 |
| NPI Number | 1336423391 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336423391 | NPI | - | NPPES |
| 10604171CDT | Other | MN | LICENSE ALCOHOL DRUG TREATMENT PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1060417-1-CDT (Minnesota) | Primary |
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