| NPI | 1588878359 |
|---|---|
| Doing Business As | ARCHDEACON GILFILLAN CENTER MH-CD PROGRAM |
| Entity Type | Organization |
| Authorized Contact | FRANK VARDEMAN Executive Director 612-874-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 800111-3-CRF) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 800111-3-CRF) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |