| NPI | 1174701817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S WOODS Treatment Director 612-465-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 10388282CDT) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301352) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |