Organization
ACRES FOR LIFE THERAPY & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN MARIE MOORE (EXECUTIVE DIRECTOR)
(651) 257-4159
Entity
Organization
Contact information
Practice address
11720 256TH ST, CHISAGO CITY, MN 55013-9752
(651) 257-4159
Mailing address
11720 256TH ST, CHISAGO CITY, MN 55013-9752
(651) 257-4159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
302220
MN
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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