| NPI | 1285258111 | 
|---|---|
| Former Legal Business Name | RECOVERY ALLIANCE | 
| Entity Type | Organization | 
| Authorized Contact | OBSA MOHAMED CEO 612-226-0907 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2020-06-06 | 
| Last Update Date | 2020-06-06 |