| Organization Name: | COMMUNITY ADDICTION RECOVERY ENTERPRISE |
| NPI Number: | 1033432703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUG SEILER (REGIONAL ADMINISTRATOR) |
| Mailing Address: | 1808 Civic Center Dr Willmar |
| State: | MN US |
| Postal Code: | 562019446 |
| Phone Number: | 3202316006 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2010 |
| NPI Last Update Date: | 03/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 1048391-2-CDT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |