| New Beginnings Mn At Minnetonka | |
|
11900 Wayzata Blvd Suite 100 Minnetonka MN 55305-2031 | |
| (612) 454-2012 | |
| Not Available |
| Full Name | New Beginnings Mn At Minnetonka |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 11900 Wayzata Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Lisa Marie Asper (DIRECTOR CONTRACT, CRED, AND PAYER) |
| Authorized Official Contact | 6124542046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Mn At Minnetonka 550 Main St Ste 190 Saint Paul MN 55112-3271 Ph: (612) 454-2046 | New Beginnings Mn At Minnetonka 11900 Wayzata Blvd Suite 100 Minnetonka MN 55305-2031 Ph: (612) 454-2012 |
| NPI Number | 1922448620 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922448620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1065949 (Minnesota) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 1065949 (Minnesota) | Primary |
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