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 |