| NPI | 1366480287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BAKER CEO 218-299-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 801338-1-MHC) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MN 434755200) |
| 251B00000X Case Management (Licence: MN 434755211) | |
| 251B00000X Case Management (Licence: MN 434755212) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-09-20 |