| NPI | 1376950469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIAN CHIESA CEO 763-452-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10739571CDT) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-02-28 |