| Radiant Recovery And Wellness Center | |
|
2 2nd Ave S Ste 35 Sauk Rapids MN 56379-1246 | |
| (612) 483-4153 | |
| Not Available |
| Full Name | Radiant Recovery And Wellness Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2 2nd Ave S Ste 35, Sauk Rapids, Minnesota |
| Authorized Official Name and Position | Mohamed-amin Ali (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6124834153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Recovery And Wellness Center 2 2nd Ave S Ste 35 Sauk Rapids MN 56379-1246 Ph: (612) 483-4153 | Radiant Recovery And Wellness Center 2 2nd Ave S Ste 35 Sauk Rapids MN 56379-1246 Ph: (612) 483-4153 |
| NPI Number | 1477304343 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477304343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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