Healthcare Provider Details

I. General information

NPI: 1861165391
Provider Name (Legal Business Name): ANCHOR RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 CENTRAL AVE
BUFFALO MN
55313-1521
US

IV. Provider business mailing address

116 CENTRAL AVE
BUFFALO MN
55313-1521
US

V. Phone/Fax

Practice location:
  • Phone: 763-250-7357
  • Fax: 855-221-4223
Mailing address:
  • Phone: 763-250-7357
  • Fax: 855-221-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: TONYA KLUG
Title or Position: PARTNER
Credential: BS, LADC
Phone: 763-639-2440