| NPI | 1689708083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS P ZEIDNER CEO 763-245-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 802564) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-02-21 |