Willow Bridge Recovery, Llc

LBN: Willow Bridge Recovery, Llc
Willow Bridge Recovery, Llc is an health care organization with primary practice located at 17 2Nd St N , Long Prairie MN 56347-1117. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Willow Bridge Recovery, Llc can be contacted via phone (320) 357-3466, or through Buer, Michele A via phone (320) 357-3466.

Contact Information

Primary practice address
17 2Nd St N Long Prairie MN 56347-1117
Phone: (320) 357-3466
Fax: (320) 357-3468
Website:
Map and Directions
Authorized official contact:
Name: Buer, Michele A
Phone: (320) 357-3466

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 1039454-1-CRF Minnesota

Profile Details

NPI number 1386847515
LBN Legal business name Willow Bridge Recovery, Llc
DBA Doing business as
Authorized official Buer, Michele A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Apr 6th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386847515 NPPES
Minnesota Other 1107320 NON RESIDENTIAL SUD TREATMENT PROGRAM
Minnesota Other 026491100 NON RESIDENTIAL SUD TREATMENT PROGRAM

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