| NPI | 1205294725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVELL ANNETTE TOWNLEY Owner 651-252-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |