| NPI | 1801959499 |
|---|---|
| Doing Business As | JANET'S RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEONARD HAVEN Owner/President 651-734-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1011741-1-CDT) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-03-02 |