| NPI | 1699152710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO JOHNSON Lpn 507-451-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN L39335-1) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |