Healthcare Provider Details

I. General information

NPI: 1306530043
Provider Name (Legal Business Name): ADDICTION RECOVERY AND COMPREHENSIVE HEALTH INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7766 HIGHWAY 65 NE
SPRING LAKE PARK MN
55432-2832
US

IV. Provider business mailing address

9170 ANDRIE CT NW
RAMSEY MN
55303-7072
US

V. Phone/Fax

Practice location:
  • Phone: 651-300-4773
  • Fax:
Mailing address:
  • Phone: 651-726-4779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: DR. YEE XIONG
Title or Position: OWNER
Credential: MD
Phone: 651-726-4779