| NPI | 1841033313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY ALTENHOFEN Owner 218-244-8731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |