| NPI | 1083863245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE ULRICH Director/President/CEO 507-345-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP3697) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |