| NPI | 1386155901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA NELSON Chief Financial Officer 952-212-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-03-17 |