| Nivon Wellness Center Llc | |
|
7501 80th St S Ste 108 & 200 Cottage Grove MN 55016-4121 | |
| (612) 564-8073 | |
| Not Available |
| Full Name | Nivon Wellness Center Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 7501 80th St S Ste 108 & 200, Cottage Grove, Minnesota |
| Authorized Official Name and Position | Nicole M Billingsley (OWNER/TREATMENT DIRECTOR) |
| Authorized Official Contact | 6125648073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nivon Wellness Center Llc 7501 80th St S Ste 108 Cottage Grove MN 55016-4121 Ph: (612) 564-8073 | Nivon Wellness Center Llc 7501 80th St S Ste 108 & 200 Cottage Grove MN 55016-4121 Ph: (612) 564-8073 |
| NPI Number | 1376030700 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376030700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (Minnesota) | Primary |
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