Organization · Type 2 NPI
Radical Recovery LLC
Addiction (Substance Use Disorder) Counselor · Moorhead, MN
NPI number
1386117968
Active
Practice location
2323 16th Ave S Ste 308
Moorhead, MN 56560-3862
Fax (218) 213-8917
Other practice locations
- 814 Center Ave W, Dilworth, MN 56529-1339 · (218) 284-1515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1386117968
Radical Recovery LLC's National Provider Identifier is 1386117968, issued on Jan 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moorhead, MN. The record was last updated on Jan 18, 2020.