Recovery Academy, Llc | |
828 Summit Ave Saint Paul MN 55105-3354 | |
(339) 300-4549 | |
(651) 305-0708 |
Full Name | Recovery Academy, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 828 Summit Ave, Saint Paul, Minnesota |
Authorized Official Name and Position | Damir Stevan Utrzan (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 6129007021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Recovery Academy, Llc 1295 Northland Dr Mendota Heights MN 55120-1371 Ph: (612) 900-7021 | Recovery Academy, Llc 828 Summit Ave Saint Paul MN 55105-3354 Ph: (339) 300-4549 |
NPI Number | 1447005202 |
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Provider Enumeration Date | 04/23/2024 |
Last Update Date | 07/03/2024 |
Certification Date | 07/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447005202 | NPI | - | NPPES |
1122623 | Other | MN | DEPARTMENT OF HUMAN SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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