| NPI | 1346829025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID ANDREWS-MENDOZA Owner 612-712-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-21 |