Organization
RADICAL RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEANE MARIE LAFRANCE LADC (OWNER)
(218) 277-8560
Entity
Organization
Contact information
Practice address
2323 16TH AVE S STE 308, MOORHEAD, MN 56560-3862
(218) 284-1515
(218) 213-8917
Mailing address
2323 16TH AVE S STE 308, MOORHEAD, MN 56560-3862
(218) 284-1515
(218) 213-8917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/18/2020
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