Five Star Recovery Center

NPI #1235237199 in Chaska, Minnesota

Provider Information

NPI Number: 1235237199
Entity Type: Organization
Organization Name: Five Star Recovery Center
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Sep 21, 2006
Last Updated: Nov 25, 2008

Practice Location

Address: 102 E 2ND ST
Address 2: SUITE 110B
City: Chaska
State: Minnesota
ZIP Code: 55318-1966
Phone: (952) 448-6557

Authorized Official

Name: MR. JASON DAVID VANDERSCOFF
Title: MANAGING DIRECTOR
Phone: (952) 448-6557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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