| NPI | 1447989744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH VARBLE Corporate Controller 763-551-8640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |