CENTER FOR ALCOHOL AND DRUG TREATMENT INC. NPI 1619196524

NPI Information

NPI: 1619196524
Provider Name: CENTER FOR ALCOHOL AND DRUG TREATMENT, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 24D1073028

Address:
314 W SUPERIOR ST STE 400
DULUTH, MN
ZIP 55802
Phone: (218) 723-8444
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CENTER FOR ALCOHOL AND DRUG TREATMENT, INC. is a rehabilitation and substance use disorder clinic center in Duluth, MN. CENTER FOR ALCOHOL AND DRUG TREATMENT, INC. NPI is 1619196524. The provider is registered as an organization entity type.

The provider's business location address is:

314 W SUPERIOR ST STE 400
DULUTH, MN
ZIP 55802-892
Phone: (218) 723-8444
Fax: (218) 529-3440

The provider's authorized official is Tina M. Silverness .
The authorized official title is Ceo and has the following contact phone number (218) 529-3426.

The CLIA number assigned to this NPI record is 24D1073028 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 1/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	048755400	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
2	122711	OTHER	MINNESOTA	UCARE MINNESOTA
3	788855400	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
4	7C04CE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN
5	195105000	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
6	657623100	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
7	795255400	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
8	8097HO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN
9	9068CE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN
10	398755800	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
11	588756900	OTHER	MINNESOTA	STATE OF MN, DHS, CD FUND
12	4C48DU	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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