| NPI | 1063575306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN A MCGREGOR Vice President 612-236-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10351731CDT) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-06-16 |