NPI | 1821504937 |
---|---|
Former Legal Business Name | NEW WAY TREATMENT CENTER LLC |
Entity Type | Organization |
Authorized Contact | BRENDA ANNETTE NELSON Executive Director 651-227-8224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1090552) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2023-01-19 |