| NPI | 1285186007 |
|---|---|
| Doing Business As | FOUR WINDS LODGE |
| Entity Type | Organization |
| Authorized Contact | NICOLE ANDERSON Hhs Commissioner 320-532-4163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2021-10-14 |