NPI | 1922448620 |
---|---|
Doing Business As | EOSIS AT MINNETONKA |
Entity Type | Organization |
Authorized Contact | LEWIS P ZEIDNER CEO 763-245-8278 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1065949) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1065949) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2025-02-21 |