| NPI | 1154869832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIYA HIRACHAN Medical Director 507-985-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |