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Organization

RECOVERY ACADEMY, LLC

Active
Other names
The Recovery Academy 1
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMIR STEVAN UTRZAN PH.D., LMFT (PRESIDENT AND CEO)
(612) 900-7021
Entity
Organization

Contact information

Practice address
828 SUMMIT AVE, SAINT PAUL, MN 55105-3354
(339) 300-4549
(651) 305-0708
Mailing address
1295 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1371
(612) 900-7021
(612) 216-4642

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1122623
DEPARTMENT OF HUMAN SERVICES
MN
01
1126705
DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
04/23/2024
Last updated
02/20/2026
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