| NPI | 1568327161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAMES OBERG CEO/Executive Director 612-267-3085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |