| NPI | 1508804683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD L KORNRUMPF Mental Health Admin Officer 763-712-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MN 331068) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |