NIVON WELLNESS CENTER LLC NPI 1376030700

NPI Information

NPI: 1376030700
Provider Name: NIVON WELLNESS CENTER LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
7501 80TH ST S STE 108 & 200
COTTAGE GROVE, MN
ZIP 55016
Phone: (612) 564-8073
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NIVON WELLNESS CENTER LLC is a substance abuse rehabilitation facility in Cottage Grove, MN. The provider is 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. NIVON WELLNESS CENTER LLC NPI is 1376030700. The provider is registered as an organization entity type.

The provider's business location address is:

7501 80TH ST S STE 108 & 200
COTTAGE GROVE, MN
ZIP 55016-121
Phone: (612) 564-8073

The provider's authorized official is Nicole M Billingsley .
The authorized official title is Owner/treatment Director and has the following contact phone number (612) 564-8073.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 9/30/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	324500000X	Substance Abuse Rehabilitation Facility			MINNESOTA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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