NPI | 1619091659 |
---|---|
Doing Business As | ODYSSEY - DAKOTA COUNTY JUVENILE SERVICE CENTER |
Entity Type | Organization |
Authorized Contact | PAUL ALAN LINDEMAN Director Revenue Cycle Management 612-326-7566 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10239271CDT) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1023927) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2008-09-16 |