| NPI | 1467214478 |
|---|---|
| Doing Business As | SHARE LLC |
| Entity Type | Organization |
| Authorized Contact | MAI L VANG Supervisor 612-456-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-03-29 |