| NPI | 1124032818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HARTFORD Hospital Administrator 763-712-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |