Recovery Works/BC Jail House Program

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1049659-1-CDT Issued in MN

Legal business name

RECOVERY WORKS/BC JAIL HOUSE PROGRAM

Practice address

640 Randolph Road
Detroit Lakes, MN 56502-0288

Phone

(218) 844-6340

Fax

(218) 844-1984

NPI assigned

Feb 28, 2008

Last updated

Jun 24, 2008By 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

Mr. Darcy Caleb Olson, M.ED./L.A.D.C.

Title

Treatment Director/Counselor

Phone

(218) 850-1984

Specialties & licenses 1

Addresses

Other names 1

• Recovery Works Minimum Security Program Other name

Tax ID family

Darcy Caleb Olson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Darcy Caleb Olson

  dba Recovery Works-BC Jail House Prgram

  • Addiction (Substance Use Disorder) Counselor
  • Detroit Lakes, MN
  • NPI 1588817928
  NPD tax ID

Locations

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962671420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 RANDOLPH ROAD",
            "address_2": "PO BOX 288",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565020288",
            "telephone_number": "218-844-6340",
            "fax_number": "218-844-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 RANDOLPH ROAD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565020288",
            "telephone_number": "218-844-6340",
            "fax_number": "218-844-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY WORKS/BC JAIL HOUSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "218-850-1984",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED./L.A.D.C."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1049659-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Works Minimum Security Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shirley J Rader, PHD
• Leah R Radke, APRN,CNP
• Krystal Marie Ramirez
• Rapidcare Urgent Care PLLC
• Cynthia Kay Rastedt, RN, BSN
• Rachel Redig, M.D.
• Jordan James Reese, CNP
• Johnathan Repoyo
• Richard N Kittelson (Optical Eyedeas)
• Jacob Ray Richter

• Addiction (Substance Use Disorder) Counselor in Detroit Lakes, MN
• Providers in Detroit Lakes, 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 Jun 24, 2008; 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.