| NPI | 1285754457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD T. KAPLAN Executive Director 612-872-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 2681) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |