| NPI | 1942625082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN JARVE Owner/Treatment Director 218-591-4289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |