Organization
COCHRAN RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A TERZICK MA (EXECUTIVE DIRECTOR)
(651) 437-4209
Entity
Organization
Contact information
Practice address
1294 18TH ST E, BLDG. 2, HASTINGS, MN 55033-3680
(651) 437-4209
(651) 438-4144
Mailing address
1294 18TH ST E, BLDG. 2, HASTINGS, MN 55033-3680
(651) 437-4209
(651) 438-4144
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10337902DS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134394828
—
MN
Enumeration date
09/26/2014
Last updated
09/26/2014
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