NPI | 1902560873 |
---|---|
Entity Type | Organization |
Authorized Contact | CAREN LYNN YUREK REMUS CEO 320-296-5848 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-27 |