| 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 |