NPI | 1881716025 |
---|---|
Other Name | CD SERVICES-ST. CLOUD |
Entity Type | Organization |
Authorized Contact | DAVID BARAGA Executive Director 320-202-2033 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 800357-1-CDT) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2010-12-16 |