OrganizationActive
Radiant Recovery and Wellness Center
NPI 1477304343 · Substance Use Disorder Rehabilitation Clinic/Center · Sauk Rapids, MN
Provider details
- NPI number
- 1477304343
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mohamed-Amin Ali, Authorized Official(612) 483-4153
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
2 2nd Ave S Ste 35
Sauk Rapids, MN 56379-1246
Phone: (612) 483-4153
Approximate (ZIP-level) locationGet directions
Mailing address
2 2nd Ave S Ste 35
Sauk Rapids, MN 56379-1246
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.