| NPI | 1225101827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL JUDY MINKS Program Director 320-763-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 301364) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-09-06 |