Organization · Type 2 NPI

Recovery Works/bc Jail House Program

Addiction (Substance Use Disorder) Counselor · Detroit Lakes, MN

NPI number 1962671420 Active

Practice location

640 Randolph Road
Detroit Lakes, MN 56502-0288

Fax (218) 844-1984

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	1049659-1-CDT (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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NPI record

NPI: 1962671420
Entity type: Organization (Type 2)
Issued: Feb 28, 2008
Last updated: Jun 24, 2008
Status: Active

Other names

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Recovery Works Minimum Security Program · other name

Authorized official

Mr. Darcy Caleb Olson, M.ED./L.A.D.C.
Treatment Director/counselor
(218) 850-1984

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About NPI 1962671420

Recovery Works/bc Jail House Program's National Provider Identifier is 1962671420, issued on Feb 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jun 24, 2008.