| NPI | 1891948238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN NYAKUNDI Co Owner/Co Director 218-393-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |