| NPI | 1194819169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WILKE CFO/VP Finance & Administration 612-314-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 07175) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-01-27 |