| NPI | 1720154081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CASAGRANDE CFO 612-871-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-11-16 |