| NPI | 1912179433 |
|---|---|
| Doing Business As | COCHRAN RECOVERY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ANGELA COLLINS Accounts Receivable 651-437-4209 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN FBL-0020697-25738) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2009-06-11 |