NPI | 1033536768 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELLEN MCNUTT Program Director 952-472-3444 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |