| NPI | 1699431445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBAN THIERRY DOSSOU Co Owner 507-589-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |