| NPI | 1912220229 |
|---|---|
| Doing Business As | COMMUNITY ADDICTION RECOVERY ENTERPRISES VALLEY LAKE BOYS HOME |
| Entity Type | Organization |
| Authorized Contact | DOUG SEILER Regional Administrator 218-739-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1046305) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |