NPI | 1326822529 |
---|---|
Other Name | DAMASCUS WAY REENTRY CENTER |
Entity Type | Organization |
Authorized Contact | TIERRE WEBSTER Executive Director 612-746-5631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-12-01 |