Recovery Roots | |
114 Minnesota St. Sandstone, Mn 55072 Sandstone MN 55072 | |
(218) 380-2551 | |
Not Available |
Full Name | Recovery Roots |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 114 Minnesota St. Sandstone, Mn 55072, Sandstone, Minnesota |
Authorized Official Name and Position | Kasey Lyn Wilson (SUD COUNSELOR) |
Authorized Official Contact | 2183802551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Recovery Roots 4394 N Kenwood Ave Moose Lake MN 55767-7739 Ph: (218) 380-2551 | Recovery Roots 114 Minnesota St. Sandstone, Mn 55072 Sandstone MN 55072 Ph: (218) 380-2551 |
NPI Number | 1720761927 |
---|---|
Provider Enumeration Date | 08/14/2023 |
Last Update Date | 08/27/2024 |
Certification Date | 08/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720761927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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Ascertain Recovery Centre' Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 Fax: 320-310-0433 | |
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