| NPI | 1306395538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BENNETT Administrator 218-329-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ND 5801) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |