| NPI | 1336877836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAAL ABDIRAHMAN GEELE Director 651-703-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-19 |