Organization
SELAH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI KOENIG (CEO)
(320) 372-2323
Entity
Organization
Contact information
Practice address
501 MAIN ST, SANDSTONE, MN 55072-4410
(320) 372-2312
Mailing address
501 MAIN ST, SANDSTONE, MN 55072-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/26/2025
Last updated
03/03/2025
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