Provider Demographics
NPI:1578220406
Name:ANCHOR RECOVERY, LLC
Entity Type:Organization
Organization Name:ANCHOR RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLUG
Authorized Official - Suffix:
Authorized Official - Credentials:BA, LADC
Authorized Official - Phone:763-639-2440
Mailing Address - Street 1:7 1ST ST NE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-1558
Mailing Address - Country:US
Mailing Address - Phone:763-639-2440
Mailing Address - Fax:
Practice Address - Street 1:7 1ST ST NE UNIT 5
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-1558
Practice Address - Country:US
Practice Address - Phone:763-639-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging