| NPI | 1255651956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr. Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 748) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-09-14 |