| NPI | 1376151977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEARY WAYNE SAFFOLD President 612-518-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-12-08 |