NPI | 1184815755 |
---|---|
Doing Business As | FRESH START |
Entity Type | Organization |
Authorized Contact | KAY KNOCK President 605-388-4691 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 004920411) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |