| NPI | 1518094937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED BOSTROM Chief Executive Officer 952-956-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 801979-1-CDT) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2026-05-06 |