| New Directions Healing Center Llc | |
|
213 E 2nd St Fairmont MN 56031-2814 | |
| (507) 236-1306 | |
| Not Available |
| Full Name | New Directions Healing Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 213 E 2nd St, Fairmont, Minnesota |
| Authorized Official Name and Position | Elizabeth Ann Odom (SOLE MEMBER) |
| Authorized Official Contact | 5078481026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Healing Center Llc 213 E 2nd St Fairmont MN 56031-2814 Ph: (507) 236-1306 | New Directions Healing Center Llc 213 E 2nd St Fairmont MN 56031-2814 Ph: (507) 236-1306 |
| NPI Number | 1578054144 |
|---|---|
| Provider Enumeration Date | 05/19/2018 |
| Last Update Date | 05/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578054144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0219 (Minnesota) | Primary |
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