NPI | 1992268726 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY LEE FILIPI Billing Specialist 218-751-0282 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2019-04-09 |
Last Update Date | 2019-04-09 |