| NPI | 1649440355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LINDSTROM Executive Direcotr 651-644-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 803854-3-CDT) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |