institution
Club Recovery Llc
Substance Use Disorder Rehabilitation Clinic/Center in Edina, Minnesota
NPI 1023032703

Club Recovery Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Edina, MN and is specialized in Rehabilitation, Substance Use Disorder. Club Recovery Llc practices in Edina, MN. The NPI Number for Club Recovery Llc is 1023032703 and holds a License No. 10043993CDT (Minnesota).

The current practice location address for Club Recovery Llc is 6550 York Ave S, Edina, MN and can be reached out via phone at 952-926-2526 and via fax at 952-926-6791.

Location: 6550 York Ave S, Edina, MN, 55435-2347
institution
Provider Profile Details
NPI Number
1023032703
Provider Name
Club Recovery Llc
Credential
Provider Entity Type
Organization
Address
6550 York Ave S, Edina, MN, 55435-2347
Phone Number
952-926-2526
Fax Number
952-926-6791
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97283 01 MN HEALTH PARTNERS
8447176 01 MN UNITED BEHAVIORAL HEALTH
8447177 01 MN UNITED BEHAVIORAL HEALTH
8468358 01 MN UNITED BEHAVIORAL HEALTH
8448321 01 MN UNITED BEHAVIORAL HEALTH
4D24CL 01 MN BLUE CROSS BLUE SHIELD
8448324 01 MN UNITED BEHAVIORAL HEALTH
164215 01 MN UCARE OF MN
8448323 01 MN UNITED BEHAVIORAL HEALTH
8448322 01 MN UNITED BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
6550 York Ave S
City
State
Zip
55435-2347
Phone Number
952-926-2526
Fax Number
952-926-6791
person
Provider Business Mailing Address Details
Address
6550 York Ave S
City
State
Zip
55435-2347
Phone Number
952-926-2526
Fax Number
952-926-6791
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
10043993CDT (Minnesota)
Definition
Definition to come...
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