| Lifelong Recovery Center, Llc | |
|
181 N Maddy St Mcgregor MN 55760-1410 | |
| (218) 391-6560 | |
| Not Available |
| Full Name | Lifelong Recovery Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 181 N Maddy St, Mcgregor, Minnesota |
| Authorized Official Name and Position | Jennifer Mcintosh (DIRECTOR) |
| Authorized Official Contact | 2183916560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Recovery Center, Llc Po Box 218 Mcgregor MN 55760-0218 Ph: () - | Lifelong Recovery Center, Llc 181 N Maddy St Mcgregor MN 55760-1410 Ph: (218) 391-6560 |
| NPI Number | 1447972005 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447972005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
East Lake Alcohol & Drug Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36666 State Highway 65, Mcgregor, MN 55760 Phone: 218-768-2431 Fax: 218-768-2697 |