NPI | 1053605923 |
---|---|
Other Name | TRIBECA TWELVE |
Entity Type | Organization |
Authorized Contact | ARNOLD STUEBER CFO 651-213-4729 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 070411517) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2024-10-04 |