| NPI | 1114334968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STEINBARGER Owner 952-797-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 2680) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |