Organization
COMMUNITY ADDICTION RECOVERY ENTERPRISE-
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG SEILER (REGIONAL ADMINISTRATOR)
(218) 736-1882
Entity
Organization
Contact information
Practice address
444 LAFAYETTE RD N, SAINT PAUL, MN 55155-3802
(651) 431-3676
(651) 431-7505
Mailing address
1800 CHICAGO AVE, MINNEAPOLIS, MN 55404-1901
(651) 431-5252
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1056062-1-CDT
MN
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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