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Organization

RADIANT RECOVERY AND WELLNESS CENTER

Active
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Organization

RADIANT RECOVERY AND WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED-AMIN ALI (AUTHORIZED OFFICIAL)
(612) 483-4153
Entity
Organization

Contact information

Practice address
2 2ND AVE S STE 35, SAUK RAPIDS, MN 56379-1246
(612) 483-4153
Mailing address
2 2ND AVE S STE 35, SAUK RAPIDS, MN 56379-1246
(612) 483-4153

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
03/28/2024
Last updated
03/28/2024
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