CDC Centers

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

802143-1-CDT Issued in MN

Legal business name

CDC CENTERS

Doing business as

River Ridge Treatment Center

Practice address

15612 Highway 7
Suite 150
Minnetonka, MN 55345-3543

Phone

(952) 894-7722

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene M Hart

Title

Ar Manager

Phone

(952) 894-7722

Specialties & licenses 1

Addresses

Other names 1

• RIVER RIDGE TREATMENT CENTER Doing business as

Tax ID family

CDC Centers4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• CDC Centers

  dba A Womans Way

  • Substance Abuse Rehabilitation Facility
  • Burnsville, MN
  • NPI 1124162094
  NPD tax ID
• CDC Centers

  dba River Ridge Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Burnsville, MN
  • NPI 1215040605
  NPD tax ID
• CDC Centers, Inc

  dba Glen Creek Lodge

  • Substance Abuse Rehabilitation Facility
  • Minnetonka, MN
  • NPI 1285074922
  NPD tax ID

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407961709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15612 HIGHWAY 7",
            "address_2": "SUITE 150",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453543",
            "telephone_number": "952-894-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15612 HIGHWAY 7",
            "address_2": "SUITE 150",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453543",
            "telephone_number": "952-894-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDC CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "952-894-7722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "802143-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER RIDGE TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Edward Cassidy, D.D.S.
• Odalys Castrillo, ARNP
• Theodore Catanzaro
• James Joseph Cavanaugh, LADC
• Susan Elaine Cave, NP
• CDC Centers, Inc (Glen Creek Lodge)
• Center for Women's Group Therapy
• Carole Gail Cera, LICSW
• Becky Cervenka
• Sonja Chafin, RN,CFNP

• Addiction (Substance Use Disorder) Counselor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.