| NPI | 1669564423 |
|---|---|
| Doing Business As | EMPOWER CTC |
| Entity Type | Organization |
| Authorized Contact | ANN M. LANSING Program Director 507-292-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1043274) |
| Additional Taxonomies | 261QM0801X (Licence: MN LICSW8120) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-04-29 |