| NPI | 1699244764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY YOUNGER Executive Director 507-645-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |