Organization
CHRISTIAN RECOVERY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN PRUDHOMME (EXECUTIVE DIRECTOR)
(763) 566-0088
Entity
Organization
Contact information
Practice address
8441 WAYZATA BLVD, STE #160, GOLDEN VALLEY, MN 55426-1344
(763) 566-0088
(763) 566-0089
Mailing address
8441 WAYZATA BLVD, STE #160, GOLDEN VALLEY, MN 55426-1344
(763) 566-0088
(763) 566-0089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20478
MN
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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