| NPI | 1619196524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M. SILVERNESS CEO 218-529-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-01-23 |