| NPI | 1194958645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WOODS Director/Owner 612-419-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 301352) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-23 |