Senior Recovery Program

  • 1598848939 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, NPI number for Senior Recovery Program is 1598848939 and actived since Saturday, October 21 2006. Senior Recovery Program is an Organization provider specializes in Addiction (Substance Use Disorder). Provider information was last updated on 10/30/2009.

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Overview of Senior Recovery Program

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: Addiction (Substance Use Disorder)
  • Active since: 10/21/2006
  • Last updated: 10/30/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 808754-3-CDT
  • License State: MN

Provider Mailing Address

  • Address: 2375 Ariel Ave.
    Maplewood, MN 55109
  • Phone: 651-773-0473
  • Fax: 651-773-9298

Provider Practice Location

  • Address: 2375 Ariel Ave.
    Maplewood, MN 55109
  • Phone: 651-773-0473
  • Fax:

Authorized Official

  • Name: John T. Clawson
  • Position/Title: Executive Director
  • Telephone Number: 651-773-0473

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 808754-3-C
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 446517200
  • Identifier Type: Other
  • Identifier State: MN
  • Issuer: CONSOLIDATED FUND

Question & Answers

What is the npi number?

  • Q: What is the npi number for Senior Recovery Program?
  • A: The npi number for Senior Recovery Program is 1598848939.
  • Q: What are Senior Recovery Program's specialties?
  • A: Senior Recovery Program's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: Where is Senior Recovery Program business practice location?
  • A: Senior Recovery Program business practice location is 2375 Ariel Ave., Maplewood, MN 55109.
  • Q: How to contact Senior Recovery Program?
  • A: You can contact Senior Recovery Program via 651-773-0473.
  • Q: What is the authorized official for Senior Recovery Program?
  • A: The authorized office name is John T. Clawson with position/title is Executive Director and you can reach the authorized official via phone number 6517730473.