| NPI | 1386712693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M MEINZER Office Manager 507-359-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 8002572DS) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |