| NPI | 1962509364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN MARCHEL Executive Director 218-327-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 801078) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-03-30 |