| NPI | 1992366645 |
|---|---|
| Doing Business As | LIFECHOICES |
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA O GREENE Chairman/Program Administrator 612-328-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-02-16 |