NPI | 1821293101 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAYTON RONALD HOUFF Owner 507-532-2715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1046409-1-CDT) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-08-22 |