| NPI | 1780186130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JOANN FRIEDMAN Treatment Director 952-693-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-04-21 |