Organization
NEW BEGININGS AT WAVERLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA GRIFFIN (CONTROLLER)
(763) 658-5222
Entity
Organization
Contact information
Practice address
109 N SHORE DR, WAVERLY, MN 55390-5517
(763) 658-5800
(763) 658-1746
Mailing address
109 N SHORE DR, WAVERLY, MN 55390-5517
(763) 658-5800
(763) 658-1746
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1003743-1-CDT
MN
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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