| Riverine Therapy Llc | |
|
12531 71st Ave Sw Motley MN 56466-2510 | |
| (612) 702-2456 | |
| Not Available |
| Full Name | Riverine Therapy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12531 71st Ave Sw, Motley, Minnesota |
| Authorized Official Name and Position | Heather V Rouillard (OWNER) |
| Authorized Official Contact | 6127022456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverine Therapy Llc 12531 71st Ave Sw Motley MN 56466-2510 Ph: (612) 702-2456 | Riverine Therapy Llc 12531 71st Ave Sw Motley MN 56466-2510 Ph: (612) 702-2456 |
| NPI Number | 1063033090 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Certification Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063033090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |