Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RITA MARIE CANNONWOLF, B.A, T-ADC
Active Sole ProprietorMRS. RITA MARIE CANNONWOLF, B.A, T-ADC is a Substance Abuse Rehabilitation Facility healthcare provider located in ALEXANDRIA, Minnesota. NPI 1093928459 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · ALEXANDRIA, MN
Registration Details
- NPI Number
- 1093928459
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.299585390647 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
222 9TH AVE WALEXANDRIA, MN, 563082221Browse MN providers · Browse ZIP 56308
- Phone
- 3207633912
- Fax
- 3207636629
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.