| NPI | 1831468479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ROBINSON Human Services Director 218-335-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |