| NPI | 1164219887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARKIS MANUKYAN CEO 651-200-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |