Provider Demographics
NPI:1710505821
Name:RRECOVERY SERVICES
Entity Type:Organization
Organization Name:RRECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREATMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-607-8544
Mailing Address - Street 1:1340 HAZEL ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-4506
Mailing Address - Country:US
Mailing Address - Phone:763-607-8544
Mailing Address - Fax:
Practice Address - Street 1:1340 HAZEL ST N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4506
Practice Address - Country:US
Practice Address - Phone:763-339-7506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility