| NPI | 1598954554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K. GREG WALKER CEO 218-326-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |