| Samantha Rivera Healing Center Inc | |
|
1032 Grand Ave Ste 202 Saint Paul MN 55105-3064 | |
| (612) 567-6529 | |
| Not Available |
| Full Name | Samantha Rivera Healing Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1032 Grand Ave Ste 202, Saint Paul, Minnesota |
| Authorized Official Name and Position | Samantha Rivera (CEO) |
| Authorized Official Contact | 6125676529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Rivera Healing Center Inc 1032 Grand Ave Ste 202 Saint Paul MN 55105-3064 Ph: (612) 567-6529 | Samantha Rivera Healing Center Inc 1032 Grand Ave Ste 202 Saint Paul MN 55105-3064 Ph: (612) 567-6529 |
| NPI Number | 1467950857 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467950857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Minnesota) | Primary |
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