| NPI | 1063565398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN KRONFELD Manager, MIS 612-819-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: MN 334535) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |