| NPI | 1093895997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A PRIBYL Executive Director 507-344-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 801089-3-rmi) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-06-23 |