NPI | 1205446044 |
---|---|
Doing Business As | BREAKTHROUGH |
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 |