| NPI | 1518792464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOSIN BADEJO Clinical Specialist/Management 651-706-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |