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General NPI Number Information
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NPI Number | 1730992090
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Entity Type | Organization
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Legal Business Name | RESTORATIVE BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 101 MAIN ST S STE 102
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City | HUTCHINSON
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State | MN
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Zip | 55350-2555
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Country | US
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Telephone | 320-207-2400
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Fax | 320-207-2438
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Provider Business Mailing Address
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Address Line | 101 MAIN ST S STE 102
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City | HUTCHINSON
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State | MN
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Zip | 55350-2555
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Country | US
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Telephone | 320-207-2400
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Fax | 320-207-2438
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Authorized Official
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Title or Position | CO-OWNER
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Name | CARRIE MORGANDO
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Credential | MA, LPCC-S
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Telephone | 320-207-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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