Rejuvenate Psc | |
12390 Sherburne Ave # 110 Becker MN 55308-9147 | |
(612) 524-9818 | |
Not Available |
Full Name | Rejuvenate Psc |
---|---|
Speciality | Community/behavioral Health |
Location | 12390 Sherburne Ave # 110, Becker, Minnesota |
Authorized Official Name and Position | Brittany Eleanor Renando (CEO/THERAPIST) |
Authorized Official Contact | 6125249818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rejuvenate Psc 12390 Sherburne Ave # 110 Becker MN 55308-9147 Ph: (612) 524-9818 | Rejuvenate Psc 12390 Sherburne Ave # 110 Becker MN 55308-9147 Ph: (612) 524-9818 |
NPI Number | 1811571730 |
---|---|
Provider Enumeration Date | 05/06/2021 |
Last Update Date | 05/06/2021 |
Certification Date | 05/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811571730 | NPI | - | NPPES |
NONE | Other | NONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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