Acres for Life Therapy & Wellness Center

NPI #1053702910 in Chisago City, Minnesota

Provider Information

NPI Number: 1053702910
Entity Type: Organization
Organization Name: Acres for Life Therapy & Wellness Center
Primary Specialty: Counselor
Enumeration Date: Feb 13, 2015
Last Updated: Feb 13, 2015

Practice Location

Address: 11720 256TH ST
City: Chisago City
State: Minnesota
ZIP Code: 55013-9752
Phone: (651) 257-4159

Authorized Official

Name: MS. LYNN MARIE MOORE
Title: EXECUTIVE DIRECTOR
Phone: (651) 257-4159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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