| NPI | 1396912374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LANGER Executive Director 612-331-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 490014600) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |