| Effective Living Center, Inc | |
|
821 W Saint Germain St Saint Cloud MN 56301-3515 | |
| (320) 259-5381 | |
| (320) 259-6171 |
| Full Name | Effective Living Center, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 821 W Saint Germain St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Colleen Walker-stedham (PRESIDENT) |
| Authorized Official Contact | 3202595381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Effective Living Center, Inc 821 W Saint Germain St Saint Cloud MN 56301-3515 Ph: (320) 259-5381 | Effective Living Center, Inc 821 W Saint Germain St Saint Cloud MN 56301-3515 Ph: (320) 259-5381 |
| NPI Number | 1124133475 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124133475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 830523-1-CDT (Minnesota) | Primary |
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