| NPI | 1568560902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL JEAN MUELLER Director Chief Operating Officer 218-732-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 8019182CDT) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |