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General NPI Number Information
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NPI Number | 1932994068
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Entity Type | Organization
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Legal Business Name | GRINNELL RECOVERY LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 415 6TH AVE W
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City | GRINNELL
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State | IA
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Zip | 50112-8236
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Country | US
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Telephone | 317-947-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 SOUTHEASTERN AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOSHE ORLNSKY
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Credential |
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Telephone | 317-341-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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