| NPI | 1730490665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS L SCOTT Chemical Health Counselor 612-870-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 302879) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |