| NPI | 1013954460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD L KORNRUMPF Mental Health Admin Officer 763-712-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MN 330994) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |