| NPI | 1154737278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN GRANT ELLIS Chief Executive Officer 651-335-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |