| NPI | 1649368127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRIBYL Executive Director 507-344-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN L801008) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |