| Wenden Olmsted County Correction Recovery Service | |
|
140 4th St Se Rochester MN 55904-3752 | |
| (651) 385-0600 | |
| (651) 388-2129 |
| Full Name | Wenden Olmsted County Correction Recovery Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 140 4th St Se, Rochester, Minnesota |
| Authorized Official Name and Position | Adam Garcia (OWNER) |
| Authorized Official Contact | 6513850600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wenden Olmsted County Correction Recovery Service 217 Plum St #220 Red Wing MN 55066-2351 Ph: (651) 385-0600 | Wenden Olmsted County Correction Recovery Service 140 4th St Se Rochester MN 55904-3752 Ph: (651) 385-0600 |
| NPI Number | 1558635128 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558635128 | NPI | - | NPPES |
| 106170-1-CDT | Other | MN | DHS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1061701-1CDT (Minnesota) | Primary |
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