| NPI | 1407323264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PRISCILLA CHATELAIN-GRESS Executive Director 218-284-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2022-09-21 |