Haven Road Recovery Center, LLC
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Long Prairie, MN
NPI 1093045551 · NPPES record last updated Jan 6, 2010
Key facts
- NPI
- 1093045551
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1055432 (MN)
- Legal business name
- HAVEN ROAD RECOVERY CENTER, LLC
- Practice address
- 115 3Rd St S
Long Prairie, MN 56347-1332 - Phone
- (320) 632-0065
- Fax
- (320) 632-0920
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Margaret Schuett
- Title
- Owner
- Phone
- (320) 632-0065
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Haven Road Recovery Center LLC
Locations
115 3rd St S
Long Prairie, MN 56347
Phone (320) 632-0065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1055432 | MN | Yes |
Addresses
Primary practice location
115 3Rd St S
Long Prairie, MN 56347-1332
Mailing address
16403 Haven Rd
Little Falls, MN 56345-6400
Phone (320) 632-0065
Other providers in Long Prairie, MN
- Shannon Elizabeth Fah
- Benjamin Woodrow Fritchman
- Ceree E. George
- Bobbie Jo Marie Haagenson
- Christopher Allan Hagen
- Haven Road Recovery Center, LLC
- Heather R Holt
- Hometown Furniture Inc.
- Lynelle Thomas Howard
- Danielle Lee Kreemer
All providers in Long Prairie, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.