| NPI | 1598848939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T. CLAWSON Executive Director 651-773-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 808754-3-CDT) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2009-10-30 |