| NPI | 1689874562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A DEWEY Owner/Treatment Director 218-444-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1042531) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |