| NPI | 1184840639 |
|---|---|
| Doing Business As | WILLOW HAVEN |
| Entity Type | Organization |
| Authorized Contact | JEFF BRADLEY President 612-385-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 810111-3-RMI) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-11-08 |