NPI | 1669943908 |
---|---|
Doing Business As | CAPITAL RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | MOHAMED FARAH Owner 612-795-1589 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |