Recovery Roots Supportive Services

LBN: Recovery Roots Supportive Services
Recovery Roots Supportive Services is an health care organization with primary practice located at 4394 N Kenwood Ave , Moose Lake MN 55767-7739. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Recovery Roots Supportive Services can be contacted via phone (218) 380-2551, or through Wilson, Kasey Lyn via phone (218) 380-2551.

Contact Information

Primary practice address
4394 N Kenwood Ave Moose Lake MN 55767-7739
Phone: (218) 380-2551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Kasey Lyn LADC/ADC-T
Phone: (218) 380-2551

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720761927
LBN Legal business name Recovery Roots Supportive Services
DBA Doing business as
Authorized official Wilson, Kasey Lyn LADC/ADC-T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - 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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