| NPI | 1134661127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MINX President 763-486-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1082873) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |