| NPI | 1962949966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CHRISTIAN FARNI President 612-805-5231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: UT 35937) |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit (Licence: UT 38905) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |