NPI | 1104980366 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA F HART CEO 651-688-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: MN 808487-1-RS) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-08-22 |