| NPI | 1376753160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PARSONS Executive Director 218-679-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 0001324) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-10-15 |