| NPI | 1093886756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE VOORHEES Executive Director 218-736-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301516) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |