NPI | 1225016306 |
---|---|
Doing Business As | NORTHWAY INTENSIVE RESIDENTIAL TREATMENT |
Entity Type | Organization |
Authorized Contact | DAVID J. BARAGA Executive Director 320-252-5010 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 801767-1-RMI) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2009-08-05 |