| NPI | 1699318766 |
|---|---|
| Doing Business As | NEW YOUTH REDEVELOPMENT |
| Entity Type | Organization |
| Authorized Contact | CHASMA DIXON Billing Manager 612-522-2951 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |