| NPI | 1518094937 |
|---|---|
| Doing Business As | PROGRESS VALLEY MENS |
| Entity Type | Organization |
| Authorized Contact | SUSANNE DEE LAMBERT Executive Director 612-869-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 801979-1-CDT) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |