| NPI | 1316121858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LOYAL CRAFT Human Resources 218-838-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: MN 1049478-1-afc) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |