| NPI | 1205446044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKIMO D KNIGHT Executive Director 612-201-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |