| Rejuvenate Psc | |
|
12390 Sherburne Ave # 110 Becker MN 55308-9147 | |
| (612) 524-9818 | |
| Not Available |
| Full Name | Rejuvenate Psc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12390 Sherburne Ave # 110, Becker, Minnesota |
| Authorized Official Name and Position | Brittany Eleanor Renando (CEO/THERAPIST) |
| Authorized Official Contact | 6125249818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenate Psc 12390 Sherburne Ave # 110 Becker MN 55308-9147 Ph: (612) 524-9818 | Rejuvenate Psc 12390 Sherburne Ave # 110 Becker MN 55308-9147 Ph: (612) 524-9818 |
| NPI Number | 1811571730 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811571730 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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