| NPI | 1285812404 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANN HENDERSON CEO 651-659-2900  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 395253308)  | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2008-02-11 | 
| Last Update Date | 2025-02-18 |