Whalio Doctors

NPI 1003914656

New Beginings at Waverly, LLC

Organisation Substance Abuse Rehabilitation Facility Waverly, MN

Practice location

Address
109 N Shore Dr, Waverly, MN 55390-5517
Phone
(763) 658-5800
Fax
(763) 658-1746

Authorised official

Name
Brenda Griffin
Title
Controller
Phone
(763) 658-5222

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1003743-1-CDT (MN)

Registry record

NPI
1003914656
Entity type
Organization
NPI issued
20 Sep 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.