| NPI | 1457485849 |
|---|---|
| Doing Business As | EOSIS CEDAR RIDGE |
| Entity Type | Organization |
| Authorized Contact | LEWIS P ZEIDNER CEO 763-245-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 8062731CDT) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 806273) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10338261DS) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-02-21 |