| NPI | 1689130684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J JOHNSON President/CEO 507-385-7611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-08-24 |