| NPI | 1962267591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE ROCHELLE DAY Owner / Treatment Director 952-239-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |