Organization · Type 2 NPI
Renew Consultant Group LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Wayzata, MN
NPI number
1508376807
Active
Practice location
600 Twelve Oaks Center Dr Ste 642D
Wayzata, MN 55391-4507
Mailing address
5865 Division St
Excelsior, MN 55331-3251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 01106 (MN) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1508376807
Renew Consultant Group LLC's National Provider Identifier is 1508376807, issued on Oct 2, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Wayzata, MN. The record was last updated on Oct 2, 2017.