| NPI | 1972650893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN CARL NERISON Admissions Coordinator 507-434-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 831080-5-CRF) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |