NPI | 1962940338 |
---|---|
Doing Business As | RECOVERY 101 COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | WADE LYNN LANG Executive Director 507-359-7101 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1085116-1-SUDX) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 21041) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2018-09-01 |