| |
2626 E 82nd St Ste 335 Bloomington MN 55425-1682 | |
(612) 584-4860 | |
(612) 444-3292 |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 2626 E 82nd St Ste 335, Bloomington, Minnesota |
Authorized Official Name and Position | Michael J Mchugh (PRESIDENT) |
Authorized Official Contact | 6125844858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2626 E 82nd St Ste 335 Bloomington MN 55425-1682 Ph: (612) 584-4858 | 2626 E 82nd St Ste 335 Bloomington MN 55425-1682 Ph: (612) 584-4860 |
NPI Number | 1801268354 |
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Provider Enumeration Date | 10/23/2015 |
Last Update Date | 01/24/2025 |
Certification Date | 01/24/2025 |
Identifier | Type | State | Issuer |
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1801268354 | NPI | - | NPPES |
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