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SENIOR RECOVERY PROGRAM
NPI 1598848939
Counselor - Addiction (Substance Use Disorder) in Maplewood, MN

Active since October 21, 2006
2375 ARIEL AVE., MAPLEWOOD, MN 55109(651) 773-0473 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Senior Recovery Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIOR RECOVERY PROGRAM (NPI 1598848939), doing business as Senior Chemical Dependency Counseling And Assistance Association, is a healthcare organization registered as an addiction (substance use disorder) in Maplewood, Minnesota and active in the NPI registry since October 2006. The organization lists John T. Clawson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1598848939
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSENIOR RECOVERY PROGRAM
Location Address2375 ARIEL AVE.Maplewood, MN 55109
Mailing Address2375 Ariel Ave.Maplewood, MN 55109 · (651) 773-0473 · Fax (651) 773-9298
Phone(651) 773-0473
Organization SubpartNo
Authorized OfficialJohn T. ClawsonExecutive Director · (651) 773-0473
Enumeration DateOctober 21, 2006
Last NPPES UpdateOctober 30, 2009
✔ NPI 1598848939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 808754-3-CDT
2375 ARIEL AVE., Maplewood, MN 55109
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Other Names 1

Former Legal Business NameSenior Chemical Dependency Counseling And Assistance Association

Other Identifiers 2

Other446517200MN · Consolidated Fund
Other808754MN · Rule 31 Clinic Dept Of Human Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Senior Recovery Program's NPI number?

The NPI number for Senior Recovery Program is 1598848939. It was assigned to this organization in the NPPES registry on October 21, 2006. The provider was formerly known as Senior Chemical Dependency Counseling And Assistance Association.

Where is Senior Recovery Program located?

Senior Recovery Program is located at 2375 Ariel Ave., Maplewood, MN 55109. The listed phone number is (651) 773-0473.

What is Senior Recovery Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Senior Recovery Program was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.