Recovery Works/Bc Jail House Program in Detroit Lakes - Addiction (substance Use Disorder)
Recovery Works/Bc Jail House Program - NPI 1962671420
Recovery Works/Bc Jail House Program is a Addiction (substance Use Disorder) in Detroit Lakes, Minnesota. Recovery Works/Bc Jail House Program practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Recovery Works/Bc Jail House Program is 1962671420. The last update date is 2008-06-24.
Recovery Works/Bc Jail House Program's current location address is 640 Randolph Road, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188446340 and fax number 2188441984. The mailing address for Recovery Works/Bc Jail House Program is 640 Randolph Road, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Recovery Works/Bc Jail House Program |
|---|---|
| Address | 640 Randolph Road, Detroit Lakes, Minnesota |
| Phone Number | 2188446340 |
| Fax Number | 2188441984 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREATMENT |
|---|---|
| Authorized Official Name | Olson Caleb Darcy |
| Credentials | M.ED./L.A. |
| Telephone Number | 2188501984 |
NPI Number Detail
| NPI Number | 1962671420 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 640 Randolph Road |
|---|---|
| City | Detroit Lakes |
| State | Minnesota (MN) |
| Post Code | 565020288 |
| Phone Number | 2188446340 |
| Fax Number | 2188441984 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1049659-1-CD |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Recovery Works/Bc Jail House Program?
The Recovery Works/Bc Jail House Program has been issued the NPI (National Provider Identifier) 1962671420 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Recovery Works/Bc Jail House Program?
The Recovery Works/Bc Jail House Program is situated at 640 Randolph Road, in the city of Detroit Lakes, state of MN, with the zip code 565020288.
What is the Recovery Works/Bc Jail House Program's area of specialization and corresponding taxonomy classification?
The Recovery Works/Bc Jail House Program's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Recovery Works/Bc Jail House Program receive its 1962671420 assignment from the Centers for Medicare & Medicaid Services?
The Recovery Works/Bc Jail House Program was assigned its 1962671420 by the Centers for Medicare & Medicaid Services on 2008-02-28.
When was the Recovery Works/Bc Jail House Program's information last updated?
The Recovery Works/Bc Jail House Program's information was last updated on 2008-06-24.
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