| NPI | 1184475378 |
|---|---|
| Doing Business As | ONE TWELVE TREATMENT FACILITY |
| Entity Type | Organization |
| Authorized Contact | CORY EDWARD SOMLAI Director 952-529-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |