| NPI | 1518338268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WILLIAM KEMPER Medical Director 612-644-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1952) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 1952) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-20 |