| NPI | 1336196633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LEE FILIPI Billing Specialist 218-751-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 1010657-3-CRF) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-07-27 |