| NPI | 1992037535 |
|---|---|
| Doing Business As | TRANSITIONS OUTPATIENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JERRY MUGAAS Executive Director 612-819-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1055581) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |