| NPI | 1093814576 |
|---|---|
| Doing Business As | PRAIRIE HOUSE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JUDITH M FEENSTRA Administrator 612-501-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 1032184-1-CRF) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-07-15 |