Organization
COMMUNITY ADDICTION RECOVERY ENTERPRISES
Active
Other names
Community Addiction Recovery Enterprises Valley Lake Boys Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SEILER (REGIONAL ADMINISTRATOR)
(218) 739-7224
Entity
Organization
Contact information
Practice address
3850 200TH AVE, BRECKENRIDGE, MN 56520
(651) 431-3676
(651) 431-7505
Mailing address
444 LAFAYETTE RD N, SAINT PAUL, MN 55155-3802
(651) 431-3676
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1046305
MN
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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