| NPI | 1619058385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANN JOY FILLIPI Director 507-451-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 324500000X) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |