Provider Demographics
NPI:1447381520
Name:WENDEN RECOVERY SERVICES OF WABASHA
Entity Type:Organization
Organization Name:WENDEN RECOVERY SERVICES OF WABASHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:651-385-0600
Mailing Address - Street 1:217 PLUM ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-2351
Mailing Address - Country:US
Mailing Address - Phone:651-388-2090
Mailing Address - Fax:651-388-2129
Practice Address - Street 1:218 MAIN ST W
Practice Address - Street 2:
Practice Address - City:WABASHA
Practice Address - State:MN
Practice Address - Zip Code:55981-1239
Practice Address - Country:US
Practice Address - Phone:651-565-5400
Practice Address - Fax:651-565-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty