Radiant Recovery And Wellness Center | |
2 2nd Ave S Ste 35 Sauk Rapids MN 56379-1246 | |
(612) 483-4153 | |
Not Available |
Full Name | Radiant Recovery And Wellness Center |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 2 2nd Ave S Ste 35, Sauk Rapids, Minnesota |
Authorized Official Name and Position | Mohamed-amin Ali (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6124834153 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Radiant Recovery And Wellness Center 2 2nd Ave S Ste 35 Sauk Rapids MN 56379-1246 Ph: (612) 483-4153 | Radiant Recovery And Wellness Center 2 2nd Ave S Ste 35 Sauk Rapids MN 56379-1246 Ph: (612) 483-4153 |
NPI Number | 1477304343 |
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Provider Enumeration Date | 03/28/2024 |
Last Update Date | 03/28/2024 |
Certification Date | 03/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477304343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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