| Graceful Strides Wellness Center Llc | |
|
30 North 8th St. Cloquet MN 55720 | |
| (218) 626-5175 | |
| (218) 879-2696 |
| Full Name | Graceful Strides Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30 North 8th St., Cloquet, Minnesota |
| Authorized Official Name and Position | Heather Lea Wright (PRESIDENT) |
| Authorized Official Contact | 2186265175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Strides Wellness Center Llc Po Box 189 30 North 8th St. Cloquet MN 55720 Ph: (218) 626-5175 | Graceful Strides Wellness Center Llc 30 North 8th St. Cloquet MN 55720 Ph: (218) 626-5175 |
| NPI Number | 1952039794 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952039794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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