| Willow Bridge Recovery, Llc | |
|
17 2nd St N Long Prairie MN 56347-1117 | |
| (320) 357-3466 | |
| (320) 357-3468 |
| Full Name | Willow Bridge Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 17 2nd St N, Long Prairie, Minnesota |
| Authorized Official Name and Position | Michele A Buer (DIRECTOR) |
| Authorized Official Contact | 3203573466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Bridge Recovery, Llc Po Box 56 Long Prairie MN 56347-0056 Ph: (320) 357-3466 | Willow Bridge Recovery, Llc 17 2nd St N Long Prairie MN 56347-1117 Ph: (320) 357-3466 |
| NPI Number | 1386847515 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386847515 | NPI | - | NPPES |
| 1107320 | Other | MN | NON RESIDENTIAL SUD TREATMENT PROGRAM |
| 026491100 | Other | MN | CHILDRENS RESIDENTIAL |
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