| 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 |