| NPI | 1740042654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ANDERSEN Revenue Manger 218-679-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |