| NPI | 1174713705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY M. SCHNEIDER Executive Director 612-869-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 802063) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |