| NPI | 1285074922 |
|---|---|
| Doing Business As | GLEN CREEK LODGE |
| Entity Type | Organization |
| Authorized Contact | RUTH CAROL ACKLEY CEO 952-894-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1066127) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-08-26 |