| NPI | 1659245330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LEE/ALVIN DOERR CEO 612-201-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2026-06-23 |