Organization
WENDEN OLMSTED COUNTY CORRECTION RECOVERY SERVICE
Active
Parent organization
WENDEN RECOVERY SERVICE. INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WENDEN RECOVERY SERVICE. INC
Authorized official
MR. ADAM GARCIA LADC (OWNER)
(651) 385-0600
Entity
Organization
Contact information
Practice address
140 4TH ST SE, ROCHESTER, MN 55904-3752
(651) 385-0600
(651) 388-2129
Mailing address
217 PLUM ST, #220, RED WING, MN 55066-2351
(651) 385-0600
(651) 388-2129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1061701-1CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106170-1-CDT
DHS LICENSE NUMBER
MN
Enumeration date
02/29/2012
Last updated
02/29/2012
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