| NPI | 1902934565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN EIDEN VP Of Corporate Services 651-379-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-04-07 |