| NPI | 1013438423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIKA REESE Chief Executive Officer 651-410-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1088251-1-HCBS) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-12-21 |