| NPI | 1629263827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROGEN President 218-547-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1005081-1-AFC) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |