| NPI | 1578717336 |
|---|---|
| Doing Business As | PARK NICOLLET MELROSE CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON JAMES LUHRS VP Finance 952-883-7158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2024-03-18 |