| NPI | 1528253978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H ROGEN President 218-547-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1032840-1-AFC) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1032841-1-AFC) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1032842-1-AFC) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1032839-1-AFC) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-10-27 |