| NPI | 1366096307 |
|---|---|
| Doing Business As | CENTERED ON YOUTH TREATMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN SENAR Administrator/Director 612-353-5983 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-11-25 |