| NPI | 1073910980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA NELSON CFO 612-326-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1075930) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |