| NPI | 1225357437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIKA STANLEY Supervisor 218-327-9944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 10026213CDT) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2021-03-30 |