| NPI | 1821491465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A TERZICK Executive Director 651-437-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10337902ds) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |