Provider Demographics
NPI:1902560873
Name:SOBRIETY FIRST TREATMENT CENTER
Entity Type:Organization
Organization Name:SOBRIETY FIRST TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:YUREK REMUS
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:320-296-5848
Mailing Address - Street 1:1275 7TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1436
Mailing Address - Country:US
Mailing Address - Phone:320-296-5848
Mailing Address - Fax:
Practice Address - Street 1:266 33RD AVE S STE 10
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4684
Practice Address - Country:US
Practice Address - Phone:320-251-0035
Practice Address - Fax:320-251-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder