Kodiak Recovery

LBN: Kodiak Recovery
Kodiak Recovery is an health care organization with primary practice located at 7117 Ohms Ln , Edina MN 55439-2142. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Kodiak Recovery can be contacted via phone (612) 309-1022, or through Reed, Jason Dean via phone (612) 309-1022.

Contact Information

Primary practice address
7117 Ohms Ln Edina MN 55439-2142
Phone: (612) 309-1022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reed, Jason Dean PSYD, LP
Phone: (612) 309-1022

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1811412711
LBN Legal business name Kodiak Recovery
DBA Doing business as
Authorized official Reed, Jason Dean PSYD, LP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2017
Last updated Aug 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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