| NPI | 1083646327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRANSFORD CEO 218-327-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 23479) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |