| Pelime Recovery Services, Llc | |
|
11118 Xylon Ave N Champlin MN 55316-3706 | |
| (952) 392-9219 | |
| Not Available |
| Full Name | Pelime Recovery Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11118 Xylon Ave N, Champlin, Minnesota |
| Authorized Official Name and Position | Williametta A Hall (CEO) |
| Authorized Official Contact | 9523929219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelime Recovery Services, Llc 11118 Xylon Ave N Champlin MN 55316-3706 Ph: (952) 392-9219 | Pelime Recovery Services, Llc 11118 Xylon Ave N Champlin MN 55316-3706 Ph: (952) 392-9219 |
| NPI Number | 1134015720 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134015720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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