OrganizationActive
Club Recovery LLC
NPI 1023032703 · Substance Use Disorder Rehabilitation Clinic/Center · Edina, MN
Provider details
- NPI number
- 1023032703
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Orrin Tietz, Administrative Director(952) 926-2526
- License
- 10043993CDT (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6550 York Ave S
Suite 620
Edina, MN 55435-2347
Phone: (952) 926-2526
Fax: (952) 926-6791
Approximate (ZIP-level) locationGet directions
Mailing address
6550 York Ave S
Edina, MN 55435-2347
Other names (DBA / former)
- Doing business as
- Club Recovery
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.