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 Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN LICSW8120) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2008-04-29 |