| NPI | 1164675344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD L. MEIER Director 651-230-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1050058-1-CDT) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |