NPI | 1053952606 |
---|---|
Doing Business As | M HEALTH FAIRVIEW RECOVERY CLINIC |
Other Name | M HEALTH FAIRVIEW RECOVERY CLINIC |
Entity Type | Organization |
Authorized Contact | MAUREEN VERONICA-REGER RING System Director 612-672-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-10-04 |
Last Update Date | 2024-04-04 |