Recovery Academy, Llc

LBN: Recovery Academy, Llc
Recovery Academy, Llc is an health care organization with primary practice located at 828 Summit Ave , Saint Paul MN 55105-3354. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Recovery Academy, Llc can be contacted via phone (339) 300-4549, or through Utrzan, Damir Stevan via phone (612) 900-7021.

Contact Information

Primary practice address
828 Summit Ave Saint Paul MN 55105-3354
Phone: (339) 300-4549
Fax: (651) 305-0708
Website:
Map and Directions
Authorized official contact:
Name: Utrzan, Damir Stevan PH.D., LMFT
Phone: (612) 900-7021

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1447005202
LBN Legal business name Recovery Academy, Llc
DBA Doing business as
Authorized official Utrzan, Damir Stevan PH.D., LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2024
Last updated Jul 3rd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1447005202 NPPES
Minnesota Other 1122623 DEPARTMENT OF HUMAN SERVICES

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