Lone Wolf Recovery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1074872-1-CDT Issued in MN

Legal business name

LONE WOLF RECOVERY

Practice address

471 2ND St N
Winsted, MN 55395

Phone

(320) 485-2323

Fax

(320) 485-4585

NPI assigned

Apr 23, 2015

Last updated

Apr 23, 2015By 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

David Ronald Yurek, BA, LADCNPI 1851701098

Title

Ceo

Phone

(320) 485-2323

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ronald Yurek, BA, LADC

  • Community/Behavioral Health Agency
  • Winsted, MN
  • NPI 1851701098
  NPD (past) Authorized official

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1821485178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "address_2": "471 2ND ST N",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "55395",
            "telephone_number": "320-485-2323",
            "fax_number": "320-485-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 2ND ST N",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "55395",
            "telephone_number": "320-485-2323",
            "fax_number": "320-485-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE WOLF RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "YUREK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-485-2323",
        "authorized_official_credential": "BA, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1074872-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keaveny Drug Inc
• Deborah Keaveny, RPH
• Justine Kloos
• Jessica A Linn, DDS
• Living Services Foundation Winsted LLC
• Luce Line Family Dental PLLC
• Deborah Kay Lynch, PTA
• Gracie Mallak
• Roberta M Midwinter, MD
• Ronda Milender, COTA

• Community/Behavioral Health Agency in Winsted, MN
• Providers in Winsted, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.