Organization
LIFELONG RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MCINTOSH LADC (DIRECTOR)
(218) 391-6560
Entity
Organization
Contact information
Practice address
181 N MADDY ST, MCGREGOR, MN 55760-1410
(218) 391-6560
Mailing address
PO BOX 218, MCGREGOR, MN 55760-0218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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