| NPI | 1295357747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW HOROWITZ Owner 651-698-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |