| NPI | 1790966828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD L KORNRUMPF Mental Health Admin Officer 651-431-5003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |