| NPI | 1992362271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE ASPER Director Of Contracting 612-454-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |