| NPI | 1013497916 |
|---|---|
| Doing Business As | TRANSFORMATIVE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOHN BRADLEY President 612-385-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1093571) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |