Healthcare Provider Details

I. General information

NPI: 1336224948
Provider Name (Legal Business Name): RECOVERY RESOURCES OF WINSTED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 2ND ST NO
WINSTED MN
99395
US

IV. Provider business mailing address

PO BOX 452
WINSTED MN
55395-0452
US

V. Phone/Fax

Practice location:
  • Phone: 320-485-2323
  • Fax: 320-485-4585
Mailing address:
  • Phone: 320-485-2323
  • Fax: 320-485-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number35547
License Number StateMN

VIII. Authorized Official

Name: MRS. ELIZABETH A REHMANN
Title or Position: DIRECTOR
Credential: LADC
Phone: 320-485-2323