| NPI | 1164520508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD C POWERS Executive Director 507-287-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 809746-2-CDT) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |