| NPI | 1548711211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARVIA HEROLD CFO/VP Of Finance & Administration 612-767-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 07175) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2017-06-12 |