| NPI | 1386277622 |
|---|---|
| Doing Business As | THE RETREAT |
| Entity Type | Organization |
| Authorized Contact | DEBBIE L JOHNSON CFO 952-476-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |