| NPI | 1851667547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MINKS Director 763-389-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 303084) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |