| NPI | 1306155940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DWYER Chief Operating Officer 651-224-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 11314) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |