| Refractions Llc | |
|
22575 43rd Ave Saint Augusta MN 56301-8729 | |
| (320) 223-1161 | |
| Not Available |
| Full Name | Refractions Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 22575 43rd Ave, Saint Augusta, Minnesota |
| Authorized Official Name and Position | Molly Corene Pena (OWNER) |
| Authorized Official Contact | 3202526017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Refractions Llc 22575 43rd Ave Saint Augusta MN 56301-8729 Ph: (320) 223-1161 | Refractions Llc 22575 43rd Ave Saint Augusta MN 56301-8729 Ph: (320) 223-1161 |
| NPI Number | 1407356710 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407356710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 00597 (Minnesota) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |