| NPI | 1366125486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEUL GEBRE HABTE General Manager 651-274-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2026-03-03 |