| NPI | 1548433840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WARDEL LOCKETT CEO 612-827-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1009414) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-05-28 |