| NPI | 1376929208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA GREENE President 612-328-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1074667) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1074667) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |