Christian Restoration Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1060417-1-CDT Issued in MN

Legal business name

CHRISTIAN RESTORATION SERVICES

Practice address

7157 Commerce Circle W
Fridley, MN 55432

Phone

(763) 566-2888

NPI assigned

Oct 7, 2011

Organization subpart

Yes

Parent organization

FAMILY RESTORATION SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marcella Garretson

Title

Director of Operations

Phone

(763) 566-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Keith Garnett, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Fridley, MN
  • NPI 1689946048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1336423391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 COMMERCE CIRCLE W",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 COMMERCE CIRCLE W",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-566-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN RESTORATION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY RESTORATION SERVICES",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "GARRETSON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "763-566-2888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1060417-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE ALCOHOL DRUG TREATMENT PROGRAM",
            "identifier": "10604171CDT",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Fridley, MN
• Providers in Fridley, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.