| NPI | 1588720494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WINKLER Director Of Quality Assurance 218-625-2638 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 801775) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-05-12 |