| NPI | 1518326800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE LAMBERT Executive Director 952-374-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |