NPI | 1629198965 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE M OLLENDICK WRIGHT Executive Director 763-277-1038 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2007-03-30 |
Last Update Date | 2013-05-24 |