| Radar, Llc | |
|
2546 Fruit Farm Rd Collegeville MN 56321-2700 | |
| (320) 363-2045 | |
| Not Available |
| Full Name | Radar, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2546 Fruit Farm Rd, Collegeville, Minnesota |
| Authorized Official Name and Position | Jeffrey Alan Glover (CLINIC DIRECTOR) |
| Authorized Official Contact | 6127471127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radar, Llc 2850 Abbey Plz # 6044 Collegeville MN 56321-7700 Ph: (612) 747-1127 | Radar, Llc 2546 Fruit Farm Rd Collegeville MN 56321-2700 Ph: (320) 363-2045 |
| NPI Number | 1992411391 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992411391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |