| NPI | 1932312055 |
|---|---|
| Doing Business As | SOUTH ROCK |
| Entity Type | Organization |
| Authorized Contact | CARMEN MARIE WILSON Owner 507-720-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1046778-1-AFC) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-04-20 |