| NPI | 1871872796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE MCGREGOR President/Program Director 612-236-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |