| NPI | 1033568399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY ARMENDARIZ Director 612-710-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 22281) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |