| NPI | 1801059639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R KLUGHERZ Vice President And CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MN 1001862 4 CDT) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1054729) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-08-26 |