| NPI | 1316016884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA MERLINDA GREIN Executive Director 612-721-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 801974) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-06-19 |