| NPI | 1073058640 |
|---|---|
| Former Legal Business Name | THE SOCIAL CONNEXTION |
| Entity Type | Organization |
| Authorized Contact | LADONNA KORSTAD Executive Director 218-284-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |