NPI | 1487088290 |
---|---|
Doing Business As | EOSIS LATITUDES |
Entity Type | Organization |
Authorized Contact | LEWIS P ZEIDNER CEO 763-245-8278 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1066083) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2025-02-21 |