| NPI | 1376633743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J. RUESGEN Director 507-237-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 10422051CDT) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-06-13 |