| NPI | 1396706008 |
|---|---|
| Doing Business As | ANTHONY LOUIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARCEY THEIS Office Manager 763-367-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 5228577) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-10-26 |