| NPI | 1194490763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FAIRBANKS Principal 612-208-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-08-14 |