NPI | 1770753923 |
---|---|
Doing Business As | QUAIL CREEK |
Entity Type | Organization |
Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst General Counsel 952-836-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH-1347) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2025-08-21 |