| NPI | 1265744890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISEY SANCHEZ Director Of Operations 507-646-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-11-28 |