| NPI | 1033367057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA STEPHENS President 651-659-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MN 830556) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 830556) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |