| NPI | 1801986773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD T EIDE Executive Director 612-594-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 809867) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |