Community of Recovering People

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

COMMUNITY OF RECOVERING PEOPLE

Doing business as

The Retreat

Practice address

1221 Wayzata Blvd E
Wayzata, MN 55391-1942

Phone

(952) 472-0566

NPI assigned

Feb 14, 2020

Last updated

Feb 14, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie L Johnson

Title

Cfo

Phone

(952) 476-0566

Specialties & licenses 1

Addresses

Other names 1

• The Retreat Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: phi@theretreat.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1386277622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 WAYZATA BLVD E",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911942",
            "telephone_number": "952-472-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 WAYZATA BLVD E",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911942",
            "telephone_number": "952-472-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OF RECOVERING PEOPLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-476-0566"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PHI@theretreat.org",
            "affiliation": "N",
            "endpointDescription": "Protected Health Information",
            "address_1": "1221 Wayzata Blvd E",
            "city": "Wayzata",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553911942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shoshana Cruz

• Substance Abuse Rehabilitation Facility in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.