| NPI | 1871476234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTIA GENEE CHESTER Chief Executive Officer 763-670-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |