| NPI | 1144397050 |
|---|---|
| Other Name | CADI WAIVER |
| Entity Type | Organization |
| Authorized Contact | CRAIG BINGER Vice President Administration 651-642-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |