Organization
MN PREVENTION & RECOVERY ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE ANDERSON (EXECUTIVE DIRECTOR)
(612) 440-3967
Entity
Organization
Contact information
Practice address
1619 PORTLAND AVE, MINNEAPOLIS, MN 55404-1507
(612) 440-3967
Mailing address
1619 PORTLAND AVE, MINNEAPOLIS, MN 55404-1507
(612) 440-3967
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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