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NPI Code Detail

MEDICARE: NEW VISIONS CENTER

MEDICARE: NEW VISIONS CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility301364MN

General Provider Information

NPI Number : 1225101827
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW VISIONS CENTER
Provider Business Mailing Address
First Line : 9547 90TH ST
Second Line :
City : PRINCETON
State : MN
Zip : 55371-6910
Country : US
Telephone Number : 763-389-0499
Fax Number :
Provider Business Practice Location Address
First Line : 222 9TH AVE W
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-2221
Country : US
Telephone Number : 320-763-3912
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MRS. CHERYL JUDY MINKS
Credential : LADC
Telephone Number : 320-763-3912
Provider Enumeration Date : 11/15/2006
Last Update Date : 09/06/2023

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1093928459 — MRS. RITA MARIE CANNONWOLF B.A, T-ADC
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Directions to “NEW VISIONS CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.