MADISON GRUENEWALD

EDEN PRAIRIE, MN
NPI1821524497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304326)
Enumeration Date2017-05-02
Last Update Date2017-05-02
Business Address
-- MADISON GRUENEWALD MA, LADC
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number: 651-366-1546
Mailing Address
-- MADISON GRUENEWALD MA, LADC
10255 GRAND ISLE PL
WOODBURY, MN 55129-4231
Phone number: 651-366-1546