Organization · Type 2 NPI
Willow Bridge Recovery, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Long Prairie, MN
NPI number
1386847515
Active
Practice location
17 2nd St N
Long Prairie, MN 56347-1117
Fax (320) 357-3468
Mailing address
PO Box 56
Long Prairie, MN 56347-0056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 1039454-1-CRF (MN) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1386847515
Willow Bridge Recovery, LLC's National Provider Identifier is 1386847515, issued on Jun 6, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Long Prairie, MN. The record was last updated on Apr 6, 2021.