| NPI | 1275731317 |
|---|---|
| Other Name | THISTLEDEW |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL HEGG Superintendent 218-376-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 1036981CRF) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |