| NPI | 1114603438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SAWIE Coordinator 612-267-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QR0800X Clinic/Center, Recovery Care | |
| 251E00000X Home Health | |
| 103TH0100X Psychologist, Health Service | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |