| NPI | 1083332167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STEARNS BROWN Executive Director 612-900-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 251S00000X | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |