Club Recovery LLC
NPI #1023032703 in Edina, Minnesota
Provider Information
- NPI Number
- 1023032703
- Entity Type
- Organization
- Organization Name
- Club Recovery LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. ORRIN R. TIETZ, B.D.
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (952) 926-2526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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