| NPI | 1134394828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM MEIER CFO 612-767-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1004916-3-DS) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-02-07 |