Organization
CHRISTIAN RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A. DEWILDE (PSYCHOTHERAPIST)
(763) 566-0088
Entity
Organization
Contact information
Practice address
6120 EARLE BROWN DR, SUITE 200, BROOKLYN CENTER, MN 55430-2123
(763) 566-0088
Mailing address
3533 ENSIGN AVE N, NEW HOPE, MN 55427-1725
(763) 546-0152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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