1023032703 CLUB RECOVERY LLC
Substance Use Disorder Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- CLUB RECOVERY LLC
- Enumeration Date
- July 27, 2006
- Last Update
- August 22, 2020
- Authorized Official
- MR. ORRIN R. TIETZ B.D.
ADMINISTRATIVE DIRECTOR
Phone: (952) 926-2526
Practice Location
- Address
- 6550 YORK AVE S
SUITE 620
EDINA, MN 554352347 - Phone
- (952) 926-2526
- Fax
- (952) 926-6791
Mailing Address
- Address
- 6550 YORK AVE S
SUITE 620
EDINA, MN 554352347 - Phone
- (952) 926-2526
- Fax
- (952) 926-6791
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | 10043993CDT | MN | Primary |
Other 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 |
Frequently Asked Questions
What is CLUB RECOVERY LLC's NPI number?
CLUB RECOVERY LLC's NPI number is 1023032703.
Which doctor has NPI number 1023032703?
The doctor with NPI number 1023032703 is CLUB RECOVERY LLC.
What is CLUB RECOVERY LLC's practice address?
CLUB RECOVERY LLC's practice address is 6550 YORK AVE S, SUITE 620, EDINA, MN, 554352347.
Which doctor practices at 6550 YORK AVE S, SUITE 620, EDINA, MN, 554352347?
CLUB RECOVERY LLC practices at 6550 YORK AVE S, SUITE 620, EDINA, MN, 554352347.
What is CLUB RECOVERY LLC's phone number?
CLUB RECOVERY LLC's phone number is (952) 926-2526.
Who is (952) 926-2526?
(952) 926-2526 is the phone number for CLUB RECOVERY LLC.
What is CLUB RECOVERY LLC's specialty?
CLUB RECOVERY LLC's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is CLUB RECOVERY LLC?
CLUB RECOVERY LLC is a Substance Use Disorder Rehabilitation Clinic/Center.
Is CLUB RECOVERY LLC a Rehabilitation, Substance Use Disorder?
Yes, CLUB RECOVERY LLC is a Rehabilitation, Substance Use Disorder.
Is CLUB RECOVERY LLC still practicing?
Yes, CLUB RECOVERY LLC is currently practicing.
Is CLUB RECOVERY LLC accepting new patients?
CLUB RECOVERY LLC may be accepting new patients. Please call their office at (952) 926-2526 to inquire about availability.
Is NPI 1023032703 still active?
Yes, NPI 1023032703 is currently active.
Where does CLUB RECOVERY LLC practice?
CLUB RECOVERY LLC practices in EDINA, MN.