| NPI | 1003944620 |
|---|---|
| Other Name | HOPE - WAIVERED |
| Entity Type | Organization |
| Authorized Contact | JUDY DILLMAN Business Office Manager 320-650-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-04-02 |