| Renew Consultant Group Llc | |
|
600 Twelve Oaks Center Dr Ste 642d Wayzata MN 55391-4507 | |
| (952) 999-3624 | |
| Not Available |
| Full Name | Renew Consultant Group Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 600 Twelve Oaks Center Dr Ste 642d, Wayzata, Minnesota |
| Authorized Official Name and Position | Linda Beutel (OWNER) |
| Authorized Official Contact | 6127237230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Consultant Group Llc 5865 Division St Excelsior MN 55331-3251 Ph: (612) 723-7230 | Renew Consultant Group Llc 600 Twelve Oaks Center Dr Ste 642d Wayzata MN 55391-4507 Ph: (952) 999-3624 |
| NPI Number | 1508376807 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508376807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 01106 (Minnesota) | Primary |
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