| Recovery Works-bc Jail House Prgram | |
|
925 Lake Ave Detroit Lakes MN 56501 | |
| (218) 850-1984 | |
| (218) 844-1984 |
| Full Name | Recovery Works-bc Jail House Prgram |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 925 Lake Ave, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Darcy Caleb Olson (TREATMENT DIRECTOR) |
| Authorized Official Contact | 2188501984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Works-bc Jail House Prgram 925 Lake Ave Po Box 288 Detroit Lakes MN 56502-0288 Ph: (218) 850-1984 | Recovery Works-bc Jail House Prgram 925 Lake Ave Detroit Lakes MN 56501 Ph: (218) 850-1984 |
| NPI Number | 1588817928 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588817928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1044298-1-CDT (Minnesota) | Primary |
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