NPI | 1376655159 |
---|---|
Former Legal Business Name | TUBMAN FAMILY ALLIANCE & CHRYSALIS A CENTER FOR WOMEN INC |
Entity Type | Organization |
Authorized Contact | BEVERLY DUSSO Executive Director 612-767-6690 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 8004872MHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-11-04 |