| 779 Riverside Recovery & Counseling Services | |
|
4940 W 77th St Edina MN 55435-4805 | |
| (612) 223-6622 | |
| Not Available |
| Full Name | 779 Riverside Recovery & Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4940 W 77th St, Edina, Minnesota |
| Authorized Official Name and Position | Coach Nakumbe (OWNER / CLINICAL DIRECTOR) |
| Authorized Official Contact | 6122236622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 779 Riverside Recovery & Counseling Services 8014 Highway 55 Unit 197 Golden Valley MN 55427-4712 Ph: (612) 223-6622 | 779 Riverside Recovery & Counseling Services 4940 W 77th St Edina MN 55435-4805 Ph: (612) 223-6622 |
| NPI Number | 1437636131 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437636131 | NPI | - | NPPES |
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