| NPI | 1861046427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARTFORD Chief Operating Officer 763-762-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-03-04 |