| NPI | 1295919397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA KAY MOLINARI Owner 952-542-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 11408) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |