| NPI | 1699141358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY GILBERT Director Of Business Development 952-934-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10301124cdt) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |