| NPI | 1053603167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M DECKER COO, Treatment Direct, Ms, Lpcc 320-434-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2024-07-29 |