| NPI | 1871850123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BRANCO Director 612-326-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 301859) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |