| NPI | 1538603683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL DRAGER Chief Financial Officer 763-762-6809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |