| NPI | 1386766426 |
|---|---|
| Doing Business As | FOCUS XII |
| Entity Type | Organization |
| Authorized Contact | DAVID BARAGA Executive Director 320-202-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 800832-2-CDT) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 800832-2-CDT) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-12-20 |