| NPI | 1386510378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIUS AWANDEM TANYIFOR Director 763-291-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |