Organization
NEW DIRECTIONS HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN ODOM LPCC (SOLE MEMBER)
(507) 848-1026
Entity
Organization
Contact information
Practice address
213 E 2ND ST, FAIRMONT, MN 56031-2814
(507) 236-1306
Mailing address
213 E 2ND ST, FAIRMONT, MN 56031-2814
(507) 236-1306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0219
MN
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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