| NPI | 1720108491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PEPIN Executive Director 218-566-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 801412) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |