Individual provider · Type 1 NPI

Rita Marie Cannonwolf, B.A, T-ADC

Substance Abuse Rehabilitation Facility · Alexandria, MN

NPI number 1093928459 Active

Practice location

222 9th Ave W
Alexandria, MN 56308-2221

Call (320) 763-3912 Map

Fax (320) 763-6629

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

16 other providers at this address

About NPI 1093928459

Rita Marie Cannonwolf, B.A, T-ADC's National Provider Identifier is 1093928459, issued on May 8, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Alexandria, MN. The record was last updated on Jul 8, 2007.