| NPI | 1851455323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI E. CLARK Treatment Director 218-739-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 801334-2-CDT) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-09-10 |