COMMUNITY ADDICTION RECOVERY ENTERPRISE


Address: 1808 Civic Center Dr, Willmar, MN 56201-9446
Phone: 3202316006

COMMUNITY ADDICTION RECOVERY ENTERPRISE (NPI# 1033432703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033432703
Entity Type Organization
Organization Name COMMUNITY ADDICTION RECOVERY ENTERPRISE
Other Organization Name COMMUNITY ADDICTION RECOVERY ENTERPRISE DETENTION CENTER
Practice Address 1808 Civic Center Dr
Willmar
MN 56201-9446
Mailing Address 444 Lafayette Rd N
Po Box 64979
St. Paul
MN 55164-0979
Practice Telephone 3202316006
Mailing Telephone 6514313691
Enumeration Date 2010-03-09
Last Update Date 2010-03-09
Authorized Official Name MR. DOUG SEILER (REGIONAL ADMINISTRATOR)
Authorized Official Telephone 2187397224
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
1048391-2-CDT MN Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Community Addiction Recovery Enterprise Detention Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285730838 Community Addiction Recovery Enterprise Substance Abuse Rehabilitation Facility 444 Lafayette Rd N, Saint Paul, MN 55155-3802 2006-09-14

Office Location

Street Address 1808 CIVIC CENTER DR
City WILLMAR
State MN
Zip Code 56201-9446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699958777 Prairie Lakes Youth Programs Counselor 1808 Civic Center Dr, Willmar, MN 56201-9446 2007-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730793472 Sarah Erickson Counselor 2120 60th Ave N.w., Willmar, MN 56201 2020-09-01
1417560681 Amy Engle Nurse Practitioner 1125 Se 8th Street, Willmar, MN 56201 2020-08-28
1154856524 Mude Transportation Inc Non-emergency Medical Transport (VAN) 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 2017-04-24
1285025874 Jill Fellows Occupational Therapist 611 5th St. Sw, Willmar, MN 56201 2015-02-18
1700294881 Brenda Wiese Counselor 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 2014-08-01
1275955932 Courtney Regnier Marriage & Family Therapist 2320 E Hwy 12 Ste 2, Willmar, MN 56201 2014-01-15
1568732402 Pamela Jean Kubesh Social Worker 328 Sw 3rd Street, Willmar, MN 56201 2012-01-10
1699931824 Community Behavioral Health Hospital-willmar Psychiatric Hospital 1208 Olena Ave Se, Willmar, MN 56201 2008-08-07
1700053345 Nathan Schrick Marriage & Family Therapist 513 Sw 5th Street, Box 1810, Willmar, MN 56201 2008-05-13
1831381680 Joan M Blonigan Christianson Chiropractor 1101 S 1st Street, Willmar, MN 56201 2007-08-15
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013138700 Reverence for Life and Concern for People Inc Clinic/Center 130 Willmar Ave Se, Willmar, MN 56201-3484 2007-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093340036 Humble Recovery Clinic/Center 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 2020-03-10
1366096307 Centered On Youth Clinic/Center 3210 Oliver Ave N, Minneapolis, MN 55412-2316 2019-07-29
1881250785 Adap Consulting Clinic/Center 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 2019-05-15
1821550005 Coscarelli Consulting, LLC Clinic/Center 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 2019-04-04
1669943908 Capital Health Services LLC Clinic/Center 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 2018-12-16
1013497916 Thrive Behavioral Network Iv, LLC Clinic/Center 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 2018-08-20
1780186130 Alliance Wellness Clinic Inc. Clinic/Center 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 2018-03-01
1447795596 Conceptual Counseling & Assessment Clinic/Center 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 2016-12-28
1871035568 No Other Way (now) Recovery Services LLC Clinic/Center 1614 W 3rd St, Red Wing, MN 55066-2086 2016-11-11
1104374073 Lakes Opioid Treatment Program, Inc Clinic/Center 8381 Lake Land Trl Nw, Walker, MN 56484-2109 2016-09-20
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Competitor

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City WILLMAR
Zip Code 56201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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