| NPI | 1578958419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GARDELL CEO 612-813-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |