| NPI | 1316555188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATAI ADESHINA POPOOLA Executive Director 651-430-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |