| NPI | 1285866525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ROBERT WEBER-BROWN Director 320-492-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1919) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |