| NPI | 1306314406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JOHN JANOWSKI Vice President 612-852-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |