| NPI | 1841441854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY KLINE Operations Director 218-236-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 801447) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |