Organization
CHRISTIAN RESTORATION SERVICES
Active
Parent organization
FAMILY RESTORATION SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY RESTORATION SERVICES
Authorized official
MRS. MARCELLA GARRETSON (DIRECTOR OF OPERATIONS)
(763) 566-2888
Entity
Organization
Contact information
Practice address
7157 COMMERCE CIRCLE W, FRIDLEY, MN 55432
(763) 566-2888
Mailing address
7157 COMMERCE CIRCLE W, FRIDLEY, MN 55432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1060417-1-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10604171CDT
LICENSE ALCOHOL DRUG TREATMENT PROGRAM
MN
Enumeration date
10/07/2011
Last updated
10/07/2011
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