NPI | 1124684907 |
---|---|
Doing Business As | MANKATO CHEMICAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | AMANDA LEE BURG Owner 507-229-0350 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 251S00000X |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2019-05-16 |
Last Update Date | 2023-10-25 |