| NPI | 1376922856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO FLEMING Manager Of Patient Revenue Cycle 651-213-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |