| NPI | 1003096447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD LOUIS MEIER Director 651-230-1895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1034578-1-CDT) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |