NPI | 1124212873 |
---|---|
Doing Business As | WINGS |
Entity Type | Organization |
Authorized Contact | CARMEN MARIE WILSON Owner 320-255-9530 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 1047343) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2007-09-05 |