| NPI | 1154750016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DUNCAN Manager 651-266-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 1065750) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-02-27 |