| NPI | 1730354549 |
|---|---|
| Other Name | MOOSE LAKE REGIONAL STATE OPERATED SERVICES |
| Entity Type | Organization |
| Authorized Contact | JACK ERSKINE Msop Administrative Officer 218-485-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MN 339327) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-06-18 |