| NPI | 1336432087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABAH ABDUL MOHAMED John Prin 612-702-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1062832-1-cdt) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2012-08-17 |