NPI | 1376737064 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER DAWN NYAKUNDI Administrator/Counselor 218-638-9931 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 301846) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 301663) |
324500000X Substance Abuse Rehabilitation Facility (Licence: MN 00461) | |
Enumeration Date | 2007-09-05 |
Last Update Date | 2007-09-05 |