| NPI | 1578765269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE HARDING Executive Director 320-235-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |