Pioneer Recovery Center LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Aurora, MN
NPI 1376737064 · NPPES record last updated Sep 5, 2007
Key facts
- NPI
- 1376737064
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 301846 (MN)
- Legal business name
- PIONEER RECOVERY CENTER LLC
- Practice address
- 5388 Road 37
Aurora, MN 55705-8338 - Phone
- (218) 638-9931
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Dawn Nyakundi, LADC, CADCIII
- Title
- Administrator/Counselor
- Phone
- (218) 638-9931
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Pioneer Recovery Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 301846 | MN | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X | 301663 | MN | |
| Substance Abuse Rehabilitation Facility | 324500000X | 00461 | MN |
Addresses
Primary practice location
5388 Road 37
Aurora, MN 55705-8338
Mailing address
5388 Road 37
Aurora, MN 55705-8338
Other providers in Aurora, MN
- Northern Pines Medical Center
- Northern Pines Medical Center
- Northern Pines Medical Center
- Ol-US Aurora, LLC
- Justin Peyla
- Pioneer Recovery Center LLC
- Ashley E Pionk
- Tracy Powell
- River Iron Therapy, LLC
- David Michael Rokser
All providers in Aurora, MN · Substance Abuse Rehabilitation Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2007. 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.