NPI | 1639798101 |
---|---|
Other Name | KHUNSI ONIKAN |
Entity Type | Organization |
Authorized Contact | RICH R LATTERNER Khunsi Onikan Treatment Director 651-793-3803 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-04-14 |
Last Update Date | 2020-04-14 |