| NPI | 1932240314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MARIE BEULKE Director 507-364-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 1072342-1-HCBS) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 1072346-1-H) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1044272-1-AFC) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-03-17 |