| NPI | 1316155237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAN STOMMES Director Of Operations 320-240-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: MN 801815-3-RS) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |