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CHRISTIAN RESTORATION SERVICES NPI 1336423391


NPI Information

NPI: 1336423391
Provider Name: CHRISTIAN RESTORATION SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
7157 COMMERCE CIRCLE W
FRIDLEY, MN
ZIP 55432
Phone: (763) 566-2888
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CHRISTIAN RESTORATION SERVICES is an addiction (substance use disorder) counselor in Fridley, MN. CHRISTIAN RESTORATION SERVICES NPI is 1336423391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7157 COMMERCE CIRCLE W
FRIDLEY, MN
ZIP 55432
Phone: (763) 566-2888

The provider's authorized official is Marcella Garretson .
The authorized official title is Director Of Operations and has the following contact phone number (763) 566-2888.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 10/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1060417-1-CDTMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110604171CDTOTHERMINNESOTALICENSE ALCOHOL DRUG TREATMENT PROGRAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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