| NPI | 1093521973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MATTHEW MUNSON Certified Peer Recovery Specialist 952-288-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |