| NPI | 1093876732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE FRANKLIN TAYLOR Executive Director 507-934-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 801377) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-09-06 |