| Recovery Partners, Pc At Plymouth | |
|
11505 36th Ave N Plymouth MN 55441-2304 | |
| (651) 213-4286 | |
| Not Available |
| Full Name | Recovery Partners, Pc At Plymouth |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 11505 36th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Marvin Seppala (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6512134825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Partners, Pc At Plymouth 11505 36th Ave N Plymouth MN 55441-2304 Ph: (651) 213-4286 | Recovery Partners, Pc At Plymouth 11505 36th Ave N Plymouth MN 55441-2304 Ph: (651) 213-4286 |
| NPI Number | 1376902999 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376902999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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