| NPI | 1700958881 |
|---|---|
| Doing Business As | MILLE LACS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | JASON LYNN DONAHUE Executive Director 320-532-4005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-07-21 |