| NPI | 1235554445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN MAAS Executive Director 651-644-8515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |