| NPI | 1508081506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIAN CHIESA CEO 763-452-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 807288-3-CDT) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-06-20 |