Organization
WENDEN RECOVERY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM GARCIA LADC (OWNER)
(651) 385-0600
Entity
Organization
Contact information
Practice address
217 PLUM ST, ARMORY CENTER, SUITE 220, RED WING, MN 55066-2351
(651) 385-0600
(651) 388-2129
Mailing address
217 PLUM ST, ARMORY CENTER, SUITE 220, RED WING, MN 55066-2351
(651) 385-0600
(651) 388-2129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032924
PREFERRED ONE PROVIDER #
MN
01
—
173157
UCARE PROVIDER #
MN
01
—
1H21WE
BLUE CROSS PROVIDER #
MN
01
—
5289116
UBH PROVIDER #
MN
01
—
91185
HEALTHPARTNERS PROVIDER #
MN
Enumeration date
03/08/2007
Last updated
08/22/2020
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