| NPI | 1851712723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BRESNAHAN Executive Director 320-650-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |