| NPI | 1033597513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI BUFFALOHEAD Director Of Operations 612-724-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 8015573CDT) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |