| NPI | 1508044975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE JOANNE RAY Program Director 218-287-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1044799) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |