NPI | 1760666903 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALLEN ENGEBRETSON Executive Director 218-643-4036 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 1036970-1-CRF) |
Enumeration Date | 2007-12-24 |
Last Update Date | 2007-12-24 |