Organization
MINNESOTA RECOVERY CONNECTION
Active
Other names
Minnesota Recovery Connection
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DA'SHAY IRVIN CPRS (MANAGER OF PEER SERVICES)
(651) 321-1100
Entity
Organization
Contact information
Practice address
2446 UNIVERSITY AVE W STE 112, SAINT PAUL, MN 55114-1740
(612) 584-4158
(612) 886-3940
Mailing address
2446 UNIVERSITY AVE W STE 112, SAINT PAUL, MN 55114-1740
(612) 584-4158
(612) 886-3940
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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