Nivon Wellness Center LLC
NPI #1376030700 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1376030700
- Entity Type
- Organization
- Organization Name
- Nivon Wellness Center LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 20, 2018
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 7501 80TH ST S STE 108 & 200
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4121
- Phone
- (612) 564-8073
Authorized Official
- Name
- NICOLE M BILLINGSLEY, LADC
- Title
- OWNER/TREATMENT DIRECTOR
- Phone
- (612) 564-8073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Substance Abuse Rehabilitation Facility |
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