| NPI | 1760929574 |
|---|---|
| Doing Business As | WINGS |
| Entity Type | Organization |
| Authorized Contact | MATTIE J MAUMGARATNER Administrator 320-593-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 010872752) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |