National Provider Identifier Database

WILLOW BRIDGE RECOVERY LLC
Rehabilitation, Substance Use Disorder

Contact Information

WILLOW BRIDGE RECOVERY, LLC
17 2ND ST N
LONG PRAIRIE, MN  56347-1117
Phone: 320-357-3466
Fax: 320-357-3468
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Addiction (Substance Use Disorder) 101YA0400X
Case Management 251B00000X
Clinic/Center 261Q00000X
Community/Behavioral Health 251S00000X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for WILLOW BRIDGE RECOVERY, LLC

NPI Number 1386847515
Legal business name
LBN		 WILLOW BRIDGE RECOVERY, LLC
Authorized official MICHELE BUER - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/06/2007
Last updated 04/06/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1039454-1-CRF
  • MN Other: 026491100 CHILDRENS RESIDENTIAL
  • MN Other: 1107320 NON RESIDENTIAL SUD TREATMENT PROGRAM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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