| NPI | 1407578479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN FINN Executive Director 218-205-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-04-13 |