NPI 1023032703

Club Recovery LLC

Organisation Substance Use Disorder Rehabilitation Clinic/Center Edina, MN

Practice location

Address: 6550 York Ave S Suite 620, Edina, MN 55435-2347
Phone: (952) 926-2526
Fax: (952) 926-6791

Authorised official

Name: Orrin R. Tietz
Title: Administrative Director
Phone: (952) 926-2526

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 10043993CDT (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1023032703
Entity type: Organization
NPI issued: 27 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.