| NPI | 1972677532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ALABI Human Services Manager 651-478-8002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 331564) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2019-09-04 |