NPI | 1689190019 |
---|---|
Former Legal Business Name | THE RECOVERY CLINIC |
Entity Type | Organization |
Authorized Contact | JASON REED President 612-309-1022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-08-17 |
Last Update Date | 2022-11-19 |