| NPI | 1770038101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN RUEHLING Owner 952-583-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303746) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-08-14 |