| Recovering Hope Outpatient Services | |
|
2031 Rowland Rd Mora MN 55051-7119 | |
| (320) 364-1315 | |
| (320) 364-1320 |
| Full Name | Recovering Hope Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2031 Rowland Rd, Mora, Minnesota |
| Authorized Official Name and Position | Jenna Karen Ludowese (CREDENTIALING) |
| Authorized Official Contact | 3203641314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovering Hope Outpatient Services 2031 Rowland Rd Mora MN 55051-7119 Ph: (320) 364-1315 | Recovering Hope Outpatient Services 2031 Rowland Rd Mora MN 55051-7119 Ph: (320) 364-1315 |
| NPI Number | 1942780960 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942780960 | NPI | - | NPPES |
| 821605200 | Medicaid | MN | |
| 752680200 | Medicaid | MN | |
| 963490100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
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