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WILLOW BRIDGE RECOVERY, LLC

Rehabilitation, Substance Use Disorder

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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 Specialty Code Provider Type

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 # 1386847515
LBN Legal business name WILLOW BRIDGE RECOVERY, LLC
Authorized official MICHELE BUER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 04/06/2021 - About 5 years ago
Identifiers
MN License # 1039454-1-CRF
MN Other 026491100 CHILDRENS RESIDENTIAL
MN Other 1107320 NON RESIDENTIAL SUD TREATMENT PROGRAM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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