| Five Star Recovery Center | |
|
102 E 2nd St Suite 110b Chaska MN 55318-1966 | |
| (952) 448-6557 | |
| (952) 448-6047 |
| Full Name | Five Star Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 102 E 2nd St, Chaska, Minnesota |
| Authorized Official Name and Position | Jason David Vanderscoff (MANAGING DIRECTOR) |
| Authorized Official Contact | 9524486557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Star Recovery Center 102 E 2nd St Suite 110b Chaska MN 55318-1966 Ph: (952) 448-6557 | Five Star Recovery Center 102 E 2nd St Suite 110b Chaska MN 55318-1966 Ph: (952) 448-6557 |
| NPI Number | 1235237199 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235237199 | NPI | - | NPPES |
| 82387 | Other | MN | HEALTH PARTNERS |
| 724455000 | Medicaid | MN | |
| 8409617 | Other | MN | UBH / MEDICA |
| 1031769 | Other | MN | PREF ONE |
| 4C35FI | Other | BLUE CROSS BLUE SHIELD MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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