| NPI | 1447795596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SAMMON President 952-564-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |