Organization
SPIRITS AT REST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY M GERRES (CEO)
(952) 303-9585
Entity
Organization
Contact information
Practice address
202 1ST ST S, MONTGOMERY, MN 56069-1602
(952) 303-9585
(952) 487-0333
Mailing address
202 1ST ST S, MONTGOMERY, MN 56069-1602
(952) 303-9585
(952) 487-0333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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