| NPI | 1003913369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY STOFFERAHN Corporate Executive Officer 507-282-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 800871-1-CDT) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |