| NPI | 1043919780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SCHOLLJEGERDES CFO 651-357-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-07 |