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 |