| NPI | 1619681590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHAD GELLE Managing Director 612-226-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-05-16 |