NPI | 1336586338 |
---|---|
Entity Type | Organization |
Authorized Contact | CHIRSTINE SHAMAN Msw, Licsw 651-492-0561 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 15592) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2018-03-17 |