| NPI | 1174203335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAD HASSAN Manager 952-737-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-10-14 |