Organization Name: | COMMUNITY ADDICTION RECOVERY ENTERPRISES |
NPI Number: | 1710209325 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUG SEILER (REGIONAL ADMINISTRATOR) |
Mailing Address: | 245 Barclay Ave Pine River |
State: | MN US |
Postal Code: | 564745174 |
Phone Number: | 6514313676 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2010 |
NPI Last Update Date: | 02/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1024651 |
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: |