| NPI | 1245397959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD STUEBER CFO 651-213-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-9403-0001-P) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-10-04 |