| NPI | 1255740601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SANDERS Lic Marriage And Family Therapapist 651-402-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 1787) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2016-03-18 |