NPI | 1073886826 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH COLLINS Owner 763-354-0508 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1415) |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |