NPI | 1720204159 |
---|---|
Doing Business As | AUSTIN MANOR |
Entity Type | Organization |
Authorized Contact | JEFF BRADLEY President 612-385-7857 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 804119-3-RMI) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2022-11-08 |