| NPI | 1003088543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BERNARD KOLAR Vice President 218-728-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 8001211RMI) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |