Organization
FOUR WINDS CENTER FOR WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LOUIS CIROCCO MSW LICSW (COOWNER OPERATOR)
(218) 444-2055
Entity
Organization
Contact information
Practice address
28141 LAKELAWN DRIVE, LINDSTROM, MN 55045
(651) 257-9566
Mailing address
28141 LAKELAWN DRIVE, LINDSTROM, MN 55045
(651) 257-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
10/03/2007
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