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Organization

ETHOS RECOVERY CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES BERNARD HILGER JR. LADC (CEO)
(612) 670-7769
Entity
Organization

Contact information

Practice address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(612) 670-7769
Mailing address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(612) 670-7769

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
12/23/2022
Last updated
12/23/2022
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