| NPI | 1174940076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CASAGRANDE Executive Director 612-871-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 801867-3-CDT) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |