| NPI | 1922505098 |
|---|---|
| Other Name | EAGLES NEST SHELTER |
| Entity Type | Organization |
| Authorized Contact | DELLA PLUME Executive Director 651-251-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |