| NPI | 1184437923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED SALAT MUHUMED Manager 320-333-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |