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1530 Assisi Dr Nw Rochester MN 55901 | |
| (507) 288-3733 | |
| (855) 288-8560 |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1530 Assisi Dr Nw, Rochester, Minnesota |
| Authorized Official Name and Position | Michael William Mahoney (TREATMENT DIRECTOR) |
| Authorized Official Contact | 5072183450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1619 Portland Ave S Minneapolis MN 55404 Ph: (612) 373-3366 | 1530 Assisi Dr Nw Rochester MN 55901 Ph: (507) 288-3733 |
| NPI Number | 1285057539 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285057539 | NPI | - | NPPES |
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