Amazing Grace Recovery Services, LLC

NPI #1821584657 in Saint Francis, Minnesota

Provider Information

NPI Number: 1821584657
Entity Type: Organization
Organization Name: Amazing Grace Recovery Services, LLC
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 4, 2018
Last Updated: Jul 4, 2018

Practice Location

Address: 23671 SAINT FRANCIS BLVD NW
City: Saint Francis
State: Minnesota
ZIP Code: 55070-9802
Phone: (651) 343-3670

Authorized Official

Name: MICHAEL LEADENS, MA, LADC
Title: PRESIDENT/CEO
Phone: (651) 343-3670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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