| NPI | 1104082114 |
|---|---|
| Doing Business As | PAUL'S PLACE |
| Entity Type | Organization |
| Authorized Contact | ROBERT L HAVEN President 651-734-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |