| NPI | 1184097479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DENISE STEPNEY Ownwr 612-230-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN HFID-31947) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |