| NPI | 1346598547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARIE L DEVOLITES Chief Executive Officer 952-858-8827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |