| Spirits At Rest | |
|
202 1st St S Montgomery MN 56069-1602 | |
| (952) 303-9585 | |
| (952) 487-0333 |
| Full Name | Spirits At Rest |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 202 1st St S, Montgomery, Minnesota |
| Authorized Official Name and Position | Jeremy M Gerres (CEO) |
| Authorized Official Contact | 9523039585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirits At Rest 202 1st St S Montgomery MN 56069-1602 Ph: (952) 303-9585 | Spirits At Rest 202 1st St S Montgomery MN 56069-1602 Ph: (952) 303-9585 |
| NPI Number | 1487273728 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487273728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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