| NPI | 1225894819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER M MICHALSKI Senior Director Of Operations 952-956-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |