| NPI | 1801596796 |
|---|---|
| Doing Business As | ONE TWELVE |
| Entity Type | Organization |
| Authorized Contact | CORY EDWARD SOMLAI Owner, Director 952-529-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |