| NPI | 1801003090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA SMIEJA Program Director 651-221-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 810913-2-CDT) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |