| NPI | 1336423391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA GARRETSON Director Of Operations 763-566-2888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1060417-1-CDT) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |