| NPI | 1710505821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS CAGE Treatment Director 763-607-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-11-14 |