| NPI | 1700625712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCHARR Chief Operating Officer 612-500-1269 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |