| Elite Recovery Llc | |
|
1137 Grand Ave Saint Paul MN 55105-2629 | |
| (651) 698-7358 | |
| Not Available |
| Full Name | Elite Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1137 Grand Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Andrew Horowitz (OWNER) |
| Authorized Official Contact | 6516987358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Recovery Llc 1137 Grand Ave Saint Paul MN 55105-2629 Ph: (651) 698-7358 | Elite Recovery Llc 1137 Grand Ave Saint Paul MN 55105-2629 Ph: (651) 698-7358 |
| NPI Number | 1679949044 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679949044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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