| NPI | 1154498871 |
|---|---|
| Other Name | BILL KELLY HOUSE |
| Entity Type | Organization |
| Authorized Contact | HUGH AYLWARD Treatment Director 612-726-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 331212) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |