| NPI | 1679949044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HOROWITZ Owner 651-698-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-02-03 |