| NPI | 1386352862 |
|---|---|
| Doing Business As | THE HAVEN IN CLOQUET |
| Entity Type | Organization |
| Authorized Contact | TEDD HERMAN CEO 612-895-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-08-02 |