NPI | 1487387155 |
---|---|
Other Name | RED LAKE HELIX OUTPATIENT SUD |
Entity Type | Organization |
Authorized Contact | CHARLENE ANDERSEN Revenue Generating Manager 218-679-1320 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-07-08 |
Last Update Date | 2024-03-04 |