| NPI | 1932452885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE IHIOMA ONYEKABA Director 612-978-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 36657) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |